CRESCENT HOME HEALTH AGENCY, LLC (NPI# 1013573443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013573443 |
| Entity Type | Organization |
| Organization Name | CRESCENT HOME HEALTH AGENCY, LLC |
| Practice Address |
763 S New Ballas Rd Ste 205 Saint Louis MO 63141-8711 |
| Practice Telephone | 3147413800 |
| Practice Fax Number | 3147413801 |
| Mailing Telephone | 3147413800 |
| Mailing Fax Number | 3147413801 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | SIKANDER M BAJWA (CEO) |
| Authorized Official Telephone | 3147413800 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRESCENT HOME HEALTH AGENCY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Crescent Home Help | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154643328 | Crescent Home Health Agency, LLC | Home Health | 7 Park Pl Ste B, Swansea, IL 62226 | 2010-02-15 |
| 1689851123 | Crescent Home Health Agency, LLC | Home Health | 763 South New Ballas Road, Suite 205, Saint Louis, MO 63141-8710 | 2008-01-28 |
| Street Address |
763 S NEW BALLAS RD STE 205 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112868 | Kb Cds Health Services | In Home Supportive Care | 5431 Chippewa St Unit B103, Saint Louis, MO 63109-1635 | 2020-10-22 |
| 1285233536 | Hoping Hands Homecare LLC | In Home Supportive Care | 5046 Ridge Ave, Saint Louis, MO 63113-1404 | 2020-10-19 |
| 1740897834 | Mgc Health Care Services, LLC | In Home Supportive Care | 1430 Washington Ave Ste 228, Saint Louis, MO 63103-2029 | 2020-09-23 |
| 1073129573 | Exquisite Homecare LLC | In Home Supportive Care | 1224 Washington Ave Apt 6a, Saint Louis, MO 63103-1969 | 2020-09-20 |
| 1154933919 | So Serious Private Duty LLC | In Home Supportive Care | 5008 Wren Ave, Saint Louis, MO 63120-1919 | 2020-08-21 |
| 1639792682 | Guardian Homecare LLC | In Home Supportive Care | 10436 W Florissant Ave, Saint Louis, MO 63136-2343 | 2020-05-26 |
| 1841813169 | Jody M Jordan | In Home Supportive Care | 10323 Ross Cir, Saint Louis, MO 63137-4130 | 2020-05-20 |
| 1235750530 | Precious Angels Hhs, LLC | In Home Supportive Care | 3131 Chippewa St, Saint Louis, MO 63118-3631 | 2020-04-28 |
| 1639705320 | Angel Aid Cds LLC | In Home Supportive Care | 315 Lemay Ferry Rd Ste 128, Saint Louis, MO 63125-1550 | 2020-03-13 |
| 1396375655 | A Perfect Balance In Home Services LLC | In Home Supportive Care | 2335 Rutger St, Saint Louis, MO 63104-2433 | 2020-01-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.