Organization Active NPI

Crescent Care LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1568836799
Registry record updated Nov 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
23273601 Issued in PA
Legal business name
CRESCENT CARE LLC
Practice address
325 Chestnut St # 41
Philadelphia, PA 19106-2614
Phone
(732) 213-8536
Fax
(732) 324-1551
NPI assigned
Nov 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2015

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

Authorized official

Name
Mr. Khalil J Tareen
Title
Ceo
Phone
(732) 213-8536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 23273601 PA Primary

Addresses

Primary practice location

325 Chestnut St # 41
Philadelphia, PA 19106-2614

Mailing address

42 Kelsey Dr
Schuylkill Haven, PA 17972-9719
Phone (732) 213-8536

Other names 1

  • Affinity Home Care Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448582400000",
    "number": "1568836799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 KELSEY DR",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179729719",
            "telephone_number": "732-213-8536",
            "fax_number": "732-324-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHESTNUT ST # 41",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062614",
            "telephone_number": "732-213-8536",
            "fax_number": "732-324-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-27",
        "last_updated": "2015-11-27",
        "status": "A",
        "authorized_official_last_name": "TAREEN",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-213-8536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "23273601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; 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.