CRESCENT HEALTHCARE, INC. (NPI# 1043339807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043339807 |
| Entity Type | Organization |
| Organization Name | CRESCENT HEALTHCARE, INC. |
| Practice Address |
2010 Iowa Ave Suite 110 Riverside CA 92507-7433 |
| Mailing Address |
62651 Collection Center Dr Chicago IL 60693-0626 |
| Practice Telephone | 9517855400 |
| Practice Fax Number | 9517741849 |
| Mailing Telephone | 8008796137 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | CLIFF BERMAN (SECRETARY) |
| Authorized Official Telephone | 8008796137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 250000487 | CA | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
PHY48850 | CA | Ambulatory Health Care Facilities |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PHY48850 | CA | Suppliers |
| N | 251F00000X | Home Infusion | Agencies | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHY48850 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1043339807 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188635 | Crescent Healthcare, Inc. | Home Infusion | 2010 Iowa Ave Ste 110, Riverside, CA 92507-7433 | 2020-09-15 |
| 1689289639 | Crescent Healthcare, Inc. | Home Infusion | 11980 Telegraph Rd Ste 102, Santa Fe Springs, CA 90670-6087 | 2020-09-15 |
| 1740699586 | Crescent Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 5431 Sw 35th Dr, Suite 200, Gainesville, FL 32608-5277 | 2014-08-06 |
| 1124070412 | Crescent Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 17609 Ventura Blvd, Ste Ll06, Encino, CA 91316-5137 | 2006-05-16 |
| 1447226170 | Crescent Healthcare, Inc. | Home Health | 1352 W 15th St, Suite 8, Panama City, FL 32401-2000 | 2006-02-23 |
| 1154397966 | Crescent Healthcare, Inc. | Home Health | 2995 Mcmillan Ave, Suite 196, San Luis Obispo, CA 93401-6769 | 2006-02-23 |
| 1922074749 | Crescent Healthcare, Inc. | Home Health | 25901 Industrial Blvd Bldg E, Hayward, CA 94545-2995 | 2006-02-23 |
| 1932192523 | Crescent Healthcare, Inc. | Home Health | 11980 Telegraph Rd, Suite 102, Santa Fe Springs, CA 90670-3797 | 2005-08-29 |
| 1053926014 | Crescent Healthcare, Inc. | Home Infusion | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 | 2020-09-15 |
| 1871108845 | Crescent Healthcare, Inc. | Home Infusion | 25901 Industrial Blvd Bldg E, Hayward, CA 94545-2995 | 2020-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CRESCENT HEALTHCARE, INC. | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 |
| Connecticut Business Registrations | CRESCENT HEALTHCARE, INC. | 300 Wilmot Rd., Deerfield, IL 60015 |
| Iowa Business Entities | CRESCENT HEALTHCARE, INC. | 3000 Lakeside Drive, Suite 300n, Bannockburn, IL 60015 |
| Vermont Business Registrations | CRESCENT HEALTHCARE, INC. | 1411 Lake Cook Road, Deerfield, IL 60015 |
| Colorado Business Entities | Crescent Healthcare, Inc. | 3000 Lakeside Dr., Suite 300n, Bannockburn, IL 60015 |
| Washington State Corporations | CRESCENT HEALTHCARE, INC. | 3000 Lakeside Dr, Suite 300n, Bannockburn, IL 60015-5405 |
| New York State Corporations | CRESCENT HEALTHCARE, INC. | 80 State Street, Albany, Ny 12207 |
| Street Address |
2010 IOWA AVE SUITE 110 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-7433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326476631 | Sky Pharma Corp | Pharmacy | 10237 Magnolia Ave, Riverside, CA 92503-3440 | 2013-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897921 | Pharmacy Home Infusion Network | Pharmacy | 900 W Glenoaks Blvd Ste G, Glendale, CA 91202-2664 | 2019-12-04 |
| 1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
| 1386155752 | Toci Health Inc | Pharmacy | 8851 Watson St Apt B, Cypress, CA 90630-2269 | 2017-10-12 |
| 1154875466 | Medquick Prescription Shoppe Inc | Pharmacy | 923 Cole Ave, Los Angeles, CA 90038-2610 | 2016-08-04 |
| 1841665973 | Biomed California, Inc | Pharmacy | 721 S Glasgow Ave., Suite C, Inglewood, CA 90301-3016 | 2015-12-01 |
| 1790158756 | Soleo Health Inc. | Pharmacy | 1324 W. Winton Ave, Hayward, CA 94545-1408 | 2015-11-12 |
| 1982013462 | Medrx Infusion Clinical Pharmacy, LLC | Pharmacy | 415 N Oak St, Inglewood, CA 90302-3314 | 2014-08-08 |
| 1669884722 | Dm Clinical Collaborations | Pharmacy | 6108 San Fernando Rd, Glendale, CA 91201-2240 | 2014-05-23 |
| 1609209352 | Santa Barbara Specialty Pharmacy LLC | Pharmacy | 4690 Carpinteria Ave Ste B, Carpinteria, CA 93013-1875 | 2013-08-16 |
| 1265773501 | Saint Paul Enterprises, Inc. | Pharmacy | 1010 E Arrow Hwy, Covina, CA 91724-1020 | 2013-03-12 |
| Find all providers with the same taxonomy | ||||
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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.