NPIMap

Organization Active NPI

Crescent Home Healthcare, Inc

Doing business as Crescent Home Hospice

  • Community Based Hospice Care Agency
  • Chicago, IL
National Provider Identifier
1780986562
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CRESCENT HOME HEALTHCARE, INC
Doing business as
Crescent Home Hospice
Practice address
6160 N Cicero Ave
Suite # 218
Chicago, IL 60646-4312
Phone
(773) 427-1221
Fax
(773) 557-7662
NPI assigned
Nov 30, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Mr. Omair Siraj
Title
President
Phone
(773) 427-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

6160 N Cicero Ave
Suite # 218
Chicago, IL 60646-4312

Mailing address

6160 N Cicero Ave
Suite # 218
Chicago, IL 60646-4312
Phone (773) 427-1221

Other names 1

  • Crescent Home Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crescent Home Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1780986562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE",
            "address_2": "SUITE # 218",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464312",
            "telephone_number": "773-427-1221",
            "fax_number": "773-557-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE",
            "address_2": "SUITE # 218",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464312",
            "telephone_number": "773-427-1221",
            "fax_number": "773-557-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SIRAJ",
        "authorized_official_first_name": "OMAIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-427-1221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.