Crescent Home
LBN: Crescent Home Adult Care Facility,Inc
Crescent Home is an health care organization with primary practice located at 812 W Colorado Ave , Colorado Springs CO 80905-1516. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Lodging, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Other Service Providers / Lodging is the primary health care specialty.
Crescent Home Adult Care Facility,Inc can be contacted via phone (719) 634-2237, or through Saiz, Nancy V. via phone (719) 634-2237.
Contact Information
Primary practice address
812 W Colorado Ave
Colorado Springs CO 80905-1516
Phone: (719) 634-2237
Fax: (719) 634-2471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lodging | 177F00000X | AL-0984 | Colorado |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | AL-0984 | Colorado |
Profile Details
| NPI number | 1336283985 |
|---|---|
| LBN Legal business name | Crescent Home Adult Care Facility,Inc |
| DBA Doing business as | Crescent Home |
| Authorized official | Saiz, Nancy V. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336283985 | NPPES |
| Colorado | MEDICAID | 66422540 |
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