CRESCENT HEALTHCARE, INC. (NPI# 1447226170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447226170 |
| Entity Type | Organization |
| Organization Name | CRESCENT HEALTHCARE, INC. |
| Practice Address |
1352 W 15th St Suite 8 Panama City FL 32401-2000 |
| Mailing Address |
3911 Paysphere Cir Chicago IL 60674-0039 |
| Practice Telephone | 8508736888 |
| Practice Fax Number | 8508736163 |
| Mailing Telephone | 8008796137 |
| Mailing Fax Number | 8473320298 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-04-18 |
| 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 | 21123 | FL | Agencies |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PH19894 | FL | Suppliers |
| N | 251F00000X | Home Infusion | Agencies | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PH19894 | FL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004860900 | 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 |
| 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 |
1352 W 15TH ST SUITE 8 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902274608 | Susan Dietze | Pharmacist | 1352 W 15th St, Suite 8, Panama City, FL 32401-2000 | 2015-09-11 |
| 1356723050 | Coral Anna Hood | Pharmacist | 1352 W 15th St, Ste 8, Panama City, FL 32401-2000 | 2015-06-18 |
| 1750788923 | Susan Klein | Pharmacist | 1352 W 15th St, Suite 8, Panama City, FL 32401-2000 | 2014-12-03 |
| 1508263773 | Travis J Allen | Pharmacist | 1352 W 15th St, Suite #8, Panama City, FL 32401-2000 | 2014-12-03 |
| 1720485071 | Matthew Morris | Pharmacist | 1352 W 15th St, Suite 8, Panama City, FL 32401-2000 | 2014-12-02 |
| 1326325226 | Steven Spohn | Pharmacist | 1352 W 15th St, Ste 8, Panama City, FL 32401-2000 | 2011-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| 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 |
|---|---|---|---|---|
| 1770090482 | Eventus Rx Inc | Pharmacy | 11300 Lindbergh Blvd Ste 107, Fort Myers, FL 33913-8827 | 2018-01-03 |
| 1437590791 | New Era Pharmaceuticals LLC | Pharmacy | 3350 Nw 53rd St, 102, Ft Lauderdale, FL 33309-6354 | 2013-07-15 |
| 1831481027 | Smp Pharmacy Solutions, LLC | Pharmacy | 7500 Nw 26th St Ste 101, Miami, FL 33122-1414 | 2011-05-06 |
| 1154623023 | Hospice of Palm Beach County, Inc. | Pharmacy | 300 Northpoint Pkwy Ste 301, West Palm Beach, FL 33407-1979 | 2010-11-29 |
| 1588897375 | Reliance Pharmacy LLC | Pharmacy | 2100 45th St Ste B1, West Palm Beach, FL 33407-2063 | 2009-08-27 |
| 1285866459 | In Home Health, LLC. | Pharmacy | 13650 Metropolis Ave Ste 105, Fort Myers, FL 33912-4375 | 2009-08-20 |
| 1174784334 | Florida Hhi LLC | Pharmacy | 6704 Benjamin Rd, Ste 700, Tampa, FL 33634-4408 | 2008-06-20 |
| 1972784841 | Complete Pharmacy and Medical Solutions LLC | Pharmacy | 5829 Nw 158th St, Miami Lakes, FL 33014-6721 | 2007-11-20 |
| 1881881522 | Infusal Partners | Pharmacy | 9655 Florida Mining Blvd W, Bldg 400, Suites 410-411, Jacksonville, FL 32257-2031 | 2007-09-26 |
| 1053514976 | Infusal Partners | Pharmacy | 5505 Johns Rd, Suite 700, Tampa, FL 33634-4307 | 2007-06-07 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
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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.