Provider Demographics
NPI:1710006630
Name:CRESCENT HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:CRESCENT HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SHIRDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-260-6617
Mailing Address - Street 1:6161 BUSCH BLVD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2508
Mailing Address - Country:US
Mailing Address - Phone:614-260-6617
Mailing Address - Fax:614-573-6731
Practice Address - Street 1:6161 BUSCH BLVD
Practice Address - Street 2:SUITE 313
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2508
Practice Address - Country:US
Practice Address - Phone:614-260-6617
Practice Address - Fax:614-573-6731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health