Crescent Healthcare, Inc.

LBN: Crescent Healthcare, Inc.
Crescent Healthcare, Inc. is an health care organization with primary practice located at 15025 Innovation Dr Suite 100, San Diego CA 92128-3455. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Crescent Healthcare, Inc. can be contacted via phone (858) 547-8487, or through Shapiro, Michael via phone (800) 879-6137.

Contact Information

Primary practice address
15025 Innovation Dr Suite 100 San Diego CA 92128-3455
Fax: (858) 578-5372
Website:
Authorized official contact:
Name: Shapiro, Michael

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 080000574 California
Agencies / Home Infusion 251F00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHY47012 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY47012 California

Profile Details

NPI number 1285600072
LBN Legal business name Crescent Healthcare, Inc.
DBA Doing business as
Authorized official Shapiro, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Oct 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285600072 NPPES
California MEDICAID 1285600072

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