Organization Active NPI

Crescent Home Care LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1306429105
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRESCENT HOME CARE LLC
Practice address
6161 Busch Blvd Ste 304
Columbus, OH 43229-2555
Phone
(614) 598-6744
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Abdulqadir Shirdon
Title
President
Phone
(614) 260-6617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6161 Busch Blvd Ste 304
Columbus, OH 43229-2555

Mailing address

6161 Busch Blvd Ste 304
Columbus, OH 43229-2555
Phone (614) 260-6617

Other names 1

  • Crescent Home Care LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220712002323 OH Part A Provider - Home Health Agency 5890175566 Practice locations: Columbus, OH

Home health agency certification: CCN 369383

Legal name
CRESCENT HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 2, 2024
Last certification
Nov 6, 2024
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 22, 2021 in OH
Enrollment address
6161 Busch Blvd
Ste 304
Columbus, OH 43229-2555

Care Compare: Home health agency

Medicare Care Compare
Listed as
Crescent Home Care LLCCCN 369383
Ownership
Proprietary
Certified
Dec 2, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Abdulqadir Shirdon Individual 5% Or Greater Direct Ownership Interest Jun 30, 2021 100%
W-2 Managing EmployeeCeo Jun 30, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1306429105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 304",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292555",
            "telephone_number": "614-260-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 304",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292555",
            "telephone_number": "614-598-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "SHIRDON",
        "authorized_official_first_name": "ABDULQADIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-260-6617"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.