Provider Demographics
NPI:1033454970
Name:CRESCENDO COMMUNITY CARE CORPORATION
Entity Type:Organization
Organization Name:CRESCENDO COMMUNITY CARE CORPORATION
Other - Org Name:HOME INSTEAD SENIOR CARE #105
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-392-8952
Mailing Address - Street 1:1745 OLD SPRING HOUSE LN
Mailing Address - Street 2:SUITE 405
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6216
Mailing Address - Country:US
Mailing Address - Phone:770-392-8952
Mailing Address - Fax:404-698-2950
Practice Address - Street 1:1745 OLD SPRING HOUSE LN
Practice Address - Street 2:SUITE 405
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6216
Practice Address - Country:US
Practice Address - Phone:770-392-8952
Practice Address - Fax:404-698-2950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044R0095251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health