Provider Demographics
NPI:1780986562
Name:CRESCENT HOME HEALTHCARE, INC
Entity type:Organization
Organization Name:CRESCENT HOME HEALTHCARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-427-1221
Mailing Address - Street 1:6160 N CICERO AVE
Mailing Address - Street 2:SUITE # 218
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4312
Mailing Address - Country:US
Mailing Address - Phone:773-427-1221
Mailing Address - Fax:773-557-7662
Practice Address - Street 1:6160 N CICERO AVE
Practice Address - Street 2:SUITE # 218
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4312
Practice Address - Country:US
Practice Address - Phone:773-427-1221
Practice Address - Fax:773-557-7662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based