CRESCENT HEALTHCARE, INC. (NPI# 1154397966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154397966 |
| Entity Type | Organization |
| Organization Name | CRESCENT HEALTHCARE, INC. |
| Practice Address |
2995 Mcmillan Ave Suite 196 San Luis Obispo CA 93401-6769 |
| Mailing Address |
62651 Collection Center Dr Chicago IL 60693-0626 |
| Practice Telephone | 8055460208 |
| Practice Fax Number | 8055460964 |
| Mailing Telephone | 8007228085 |
| Mailing Fax Number | 7148089328 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | CLIFF BERMAN (SECRETARY) |
| Authorized Official Telephone | 8474652100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 050000542 | CA | Agencies |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PHY47011 | CA | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1154397966 | 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 |
| 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 |
| 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 |
2995 MCMILLAN AVE SUITE 196 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-6769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093145518 | Stephan Hall | Pharmacist | 2995 Mcmillan Ave, Suite 196, San Luis Obispo, CA 93401-6769 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.