Organization Active NPI

A Crescent Home Health, Inc.

Doing business as Crescent Home Health Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1669671939
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012025 Issued in TX
Legal business name
A CRESCENT HOME HEALTH, INC.
Doing business as
Crescent Home Health Inc.
Practice address
11251 Northwest Fwy
Ste. 470
Houston, TX 77092-6529
Phone
(713) 414-5837
Fax
(713) 414-5452
NPI assigned
Jul 16, 2007
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Mr. Altaf N. Visram
Title
President
Phone
(713) 414-5837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012025 TX Primary

Addresses

Primary practice location

11251 Northwest Fwy
Ste. 470
Houston, TX 77092-6529

Mailing address

11251 Northwest Fwy
Ste. 470
Houston, TX 77092-6529
Phone (713) 414-5837

Other identifiers 2

IdentifierTypeStateIssuer
2150757-01MedicaidTX
747345OtherMEDICARE TYPE - UNSPECIFIED

Other names 1

  • Crescent Home Health Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000150 TX Part A Provider - Home Health Agency 8628127420 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669671939. Details of each certification follow.

Home health agency certification: CCN 747345

Legal name
A+ CRESCENT HOME HEALTH, INC.
Doing business as
CRESCENT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 2, 2010
Last certification
Aug 5, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 25, 2007 in TX
Enrollment address
11251 Northwest Fwy
Ste 470
Houston, TX 77092-6526

Care Compare: Home health agency

Medicare Care Compare
Listed as
Crescent Home Health IncCCN 747345 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Feb 2, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1092237A+ Crescent Home Health, Inc11251 Northwest Freeway Suite 470, Houston, TX 77092Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

Locations

11251 Northwest Fwy
Ste 470
Houston, TX 77092
Phone (713) 414-5837

7322 Southwest Fwy
Ste 485
Houston, TX 77074
Phone (713) 414-5438

9950 Westpark Dr
Ste 426
Houston, TX 77063
Phone (713) 339-4424

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Altaf N Visram Individual 5% Or Greater Direct Ownership Interest Jun 25, 2007 50%
Corporate OfficerPresident Jun 25, 2007 50%
Corporate DirectorCeo Jun 25, 2007 50%
Operational/Managerial ControlAdministrator Jun 25, 2007
Rosaura Martinez-Visram Individual 5% Or Greater Direct Ownership Interest Oct 10, 2014 50%
Corporate OfficerVice President Jan 4, 2014 50%
Corporate DirectorBoard Member Jan 4, 2014 50%
Operational/Managerial ControlAlternate Administrator Apr 16, 2014
Patricia Warren Individual W-2 Managing EmployeeDirector of Nursing Jan 3, 2011

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1669671939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11251 NORTHWEST FWY",
            "address_2": "STE. 470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926529",
            "telephone_number": "713-414-5837",
            "fax_number": "713-414-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11251 NORTHWEST FWY",
            "address_2": "STE. 470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926529",
            "telephone_number": "713-414-5837",
            "fax_number": "713-414-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CRESCENT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "VISRAM",
        "authorized_official_first_name": "ALTAF",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-414-5837",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150757-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE - UNSPECIFIED",
            "identifier": "747345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Home Health Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.