NPIMap

Organization Active NPI

Crescent Academy Inc

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
National Provider Identifier
1750652228
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRESCENT ACADEMY INC
Practice address
3105 Coleman St
#B
N Las Vegas, NV 89032-3807
Phone
(702) 445-0420
Fax
(800) 783-8279
NPI assigned
Jan 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Mr. Michael A, Hobbs, MBA
Title
President
Phone
(702) 445-0420

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

3105 Coleman St
#B
N Las Vegas, NV 89032-3807

Mailing address

5575 Simmons St
#1-363
N Las Vegas, NV 89031-9009
Phone (702) 445-0420

National Provider Directory

National Provider Directory
Tax ID family
Crescent Academy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3105 Coleman St
#B
North Las Vegas, NV 89032
Phone (702) 202-2567

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1750652228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST",
            "address_2": "#1-363",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-445-0420",
            "fax_number": "800-783-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 COLEMAN ST",
            "address_2": "#B",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890323807",
            "telephone_number": "702-445-0420",
            "fax_number": "800-783-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-15",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A,",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-445-0420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.