Organization Active NPI

Crescent Care, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1720877533
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRESCENT CARE, LLC
Practice address
2862 Johnstown Rd Ste 112
Columbus, OH 43219-1793
Phone
(614) 330-9876
Fax
(614) 330-9876
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Ikran Haji
Title
Program Manager
Phone
(614) 330-9875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2862 Johnstown Rd Ste 112
Columbus, OH 43219-1793

Mailing address

2862 Johnstown Rd Ste 112
Columbus, OH 43219-1793
Phone (614) 330-9876

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
36D2330052Crescent Care, LLC2862 Johnstown Road, Suite 112, Columbus, OH 43219Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

2862 Johnstown Rd
Ste 112
Columbus, OH 43219
Phone (614) 330-9876

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1720877533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 JOHNSTOWN RD STE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191793",
            "telephone_number": "614-330-9876",
            "fax_number": "614-330-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2862 JOHNSTOWN RD STE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191793",
            "telephone_number": "614-330-9876",
            "fax_number": "614-330-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "HAJI",
        "authorized_official_first_name": "IKRAN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "614-330-9875"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.