Organization Active NPI

Crescent Respite Care Inc

  • In Home Supportive Care Agency
  • Brandon, FL
National Provider Identifier
1306302633
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CRESCENT RESPITE CARE INC
Practice address
2653 Oleander Lakes Dr
Brandon, FL 33511-1271
Phone
(917) 202-4899
Fax
(813) 571-3310
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Prema S Sammy, SOCIAL WORKER
Title
Director/Owner
Phone
(917) 202-4899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2653 Oleander Lakes Dr
Brandon, FL 33511-1271

Mailing address

2653 Oleander Lakes Dr
Brandon, FL 33511-1271
Phone (917) 202-4899

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1306302633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 OLEANDER LAKES DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111271",
            "telephone_number": "917-202-4899",
            "fax_number": "813-571-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 OLEANDER LAKES DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111271",
            "telephone_number": "917-202-4899",
            "fax_number": "813-571-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT RESPITE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SAMMY",
        "authorized_official_first_name": "PREMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "917-202-4899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.