Crescent Home Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRESCENT HOME HEALTHCARE SERVICES

Practice address

617 W Broadway Ave Ste 202
Minneapolis, MN 55411-2712

Phone

(612) 354-3084

Fax

(952) 516-5142

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Abdirisak S Mahamud

Title

Ceo and Manager

Phone

(612) 354-3084

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1992270375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W BROADWAY AVE STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112712",
            "telephone_number": "612-354-3084",
            "fax_number": "952-516-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W BROADWAY AVE STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112712",
            "telephone_number": "612-354-3084",
            "fax_number": "952-516-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HOME HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "MAHAMUD",
        "authorized_official_first_name": "ABDIRISAK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO AND MANAGER",
        "authorized_official_telephone_number": "612-354-3084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler James Creelman
• Jae Christine Creger, MD
• Allison Cregg, MD
• Raylesha Creighton-Lewis, PHARM. D
• Crescent Caring LLC
• Cassiano Crespo Santiago, MD
• Eileen Crespo, MD
• Briana McCall Cress
• Crestview Assisted Living LLC
• Crestview Residences LLC

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.