CRESCENT HOME ADULT CARE FACILITY,INC (NPI# 1336283985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336283985 |
| Entity Type | Organization |
| Organization Name | CRESCENT HOME ADULT CARE FACILITY,INC |
| Other Organization Name | CRESCENT HOME |
| Practice Address |
812 W Colorado Ave Colorado Springs CO 80905-1516 |
| Practice Telephone | 7196342237 |
| Practice Fax Number | 7196342471 |
| Mailing Telephone | 7196342237 |
| Mailing Fax Number | 7196342471 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NANCY V. SAIZ (DIRECTOR) |
| Authorized Official Telephone | 7196342237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 177F00000X | Lodging | AL-0984 | CO | Other Service Providers |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | AL-0984 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 66422540 | 05 |
| Other Name | Type Code |
|---|---|
| Crescent Home | Other Name - Individual/Organization |
| Street Address |
812 W COLORADO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880467 | Clifton Frederick Horrell Iv | Lodging | 1500 Cheyenne Ave, Loveland, CO 80538-4264 | 2019-09-19 |
| 1366928012 | Mile High Ministries | Lodging | 2330 W Mulberry Pl, Denver, CO 80204-3817 | 2018-07-16 |
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
Please comment or provide details below to improve the information on CRESCENT HOME ADULT CARE FACILITY,INC.
| 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.