Provider Demographics
NPI:1932794229
Name:CRESCENT HOME CARE INC.
Entity Type:Organization
Organization Name:CRESCENT HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORGA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:425-483-8614
Mailing Address - Street 1:8165 NE 150TH ST
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4742
Mailing Address - Country:US
Mailing Address - Phone:425-483-8614
Mailing Address - Fax:
Practice Address - Street 1:8165 NE 150TH ST
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-4742
Practice Address - Country:US
Practice Address - Phone:425-483-8614
Practice Address - Fax:425-489-9095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home