CRESCENT HEALTHCARE, INC. (NPI# 1124070412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124070412 |
Entity Type | Organization |
Organization Name | CRESCENT HEALTHCARE, INC. |
Practice Address |
17609 Ventura Blvd Ste Ll06 Encino CA 91316-5137 |
Mailing Address |
888 S Disneyland Dr Suite 200 Anaheim CA 92802-1847 |
Practice Telephone | 8189810134 |
Practice Fax Number | 8189814839 |
Mailing Telephone | 8007228085 |
Mailing Fax Number | 7148089328 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2014-05-06 |
Authorized Official Name | LORI ZSITEK (VICE PRESIDENT) |
Authorized Official Telephone | 8008796137 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
47494 | CA | Suppliers |
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
47494 | CA | Suppliers |
N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
47494 | CA | Ambulatory Health Care Facilities |
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
47494 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1124070412 | 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 |
1043339807 | Crescent Healthcare, Inc. | Home Health | 2010 Iowa Ave, Suite 110, Riverside, CA 92507-7433 | 2007-03-29 |
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 |
17609 VENTURA BLVD STE LL06 |
City | ENCINO |
State | CA |
Zip Code | 91316-5137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033507447 | Meri Tchouvandjian | Occupational Therapist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2015-01-07 |
1982001285 | Noffar Kaspi | Speech-Language Pathologist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2014-12-02 |
1811394224 | Jessica Biber | Occupational Therapist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2014-12-01 |
1528481918 | Ivette Zubiate | Behavioral Analyst | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2014-01-21 |
1215365515 | Heather Valentine | Behavioral Analyst | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-10-23 |
1659705390 | Nirali Parikh | Rehabilitation Unit | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-08-29 |
1730513029 | Caitlin Gattuccio | Speech-Language Pathologist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-08-22 |
1467897892 | Hien Thi Mao | Behavioral Analyst | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-04-29 |
1487997854 | Jennifer Mon | Physical Therapist | 17609 Ventura Blvd, 215, Encino, CA 91316-3858 | 2013-04-03 |
1548502123 | Christina P Griffin | Behavioral Analyst | 17609 Ventura Blvd, Encino, CA 91316-3858 | 2013-03-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
Find all providers in zip 91316 |
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 |
---|---|---|---|---|
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 |
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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.