NPIMap

Organization Active NPI

Crescent Academy Inc

  • Speech-Language Pathologist
  • North Las Vegas, NV
National Provider Identifier
1952744559
Registry record updated Jul 27, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CRESCENT ACADEMY INC
Practice address
2535 W Cheyenne Ave Ste 104
North Las Vegas, NV 89032-8930
Phone
(702) 202-2567
Fax
(702) 202-6919
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Michael Hobbs, MBA
Title
President/Ceo
Phone
(702) 445-0420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Community/Behavioral Health Agency 251S00000X NV20121029458 NV

Addresses

Primary practice location

2535 W Cheyenne Ave Ste 104
North Las Vegas, NV 89032-8930

Mailing address

5575 Simmons St # 1-363
North Las Vegas, NV 89031-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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

2535 W Cheyenne Ave
Ste 104
North Las Vegas, NV 89032
Phone (702) 202-2567

5575 Simmons St
#1363
North Las Vegas, NV 89031

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1952744559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST # 1-363",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 W CHEYENNE AVE STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328930",
            "telephone_number": "702-202-2567",
            "fax_number": "702-202-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "702-445-0420",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20121029458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.