Crescent Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRESCENT HOME HEALTH CARE LLC

Practice address

508 Dietrich Rd
Ballwin, MO 63021-8019

Phone

(314) 757-3445

Fax

(314) 621-8315

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Wijdan Isa

Title

Director

Phone

(314) 757-3445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1326851270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DIETRICH RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218019",
            "telephone_number": "314-757-3445",
            "fax_number": "314-621-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 DIETRICH RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218019",
            "telephone_number": "314-757-3445",
            "fax_number": "314-621-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "ISA",
        "authorized_official_first_name": "WIJDAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-757-3445"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Everardo Coronado, RPH
• Brandon Wayne Cousins, DDS
• Jeffrey Cowdry
• Gregory Kenneth Cox
• Crescent Bioscientific Labatory Inc
• Ann Elizabeth Cribbin
• Kathryn Barker Critchfield, PT, CSCS
• Crmone LLC
• Culture of Wellness, LLC
• Jamie Cummins, BCBA

• Home Health Agency in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.