Crescent Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRESCENT HOME HEALTH CARE, LLC

Practice address

6161 Busch Blvd
Suite 313
Columbus, OH 43229-2508

Phone

(614) 260-6617

Fax

(614) 573-6731

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Aden F. Shirdon

Title

President

Phone

(614) 260-6617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368430

Legal name

CRESCENT HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 17, 2012

Last certification

Jan 9, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 29, 2007 in OH

Enrollment address

6161 Busch Blvd.
Suite 313
Columbus, OH 43229-2555

Listed as

Crescent Home Health Care LLCCCN 368430

Ownership

Proprietary

Certified

Feb 17, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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.

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1710006630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD",
            "address_2": "SUITE 313",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292508",
            "telephone_number": "614-260-6617",
            "fax_number": "614-573-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD",
            "address_2": "SUITE 313",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292508",
            "telephone_number": "614-260-6617",
            "fax_number": "614-573-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "SHIRDON",
        "authorized_official_first_name": "ADEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-260-6617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Canice E Crerand, PH.D.
• Crescent Care, LLC
• Crescent Home Care LLC
• Iryna M Crescenze, MD
• Aaron Crespino
• Chandler Philip Cress, RN
• Kayleigh Cress, PHARMD
• Cresthaven Medical Supply LLC

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.

Verify at the official NPI Registry.