Active NPI
Crescent Home Care LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1306429105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Dec 2, 2024
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Abdulqadir Shirdon | 5% Or Greater Direct Ownership Interest | Jun 30, 2021 | 100% |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.