CRESCENT HEALTHCARE, INC. (NPI# 1730794793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730794793 |
| Entity Type | Organization |
| Organization Name | CRESCENT HEALTHCARE, INC. |
| Practice Address |
15025 Innovation Dr Ste 100 San Diego CA 92128-3456 |
| Mailing Address |
3000 Lakeside Dr Ste 300n Bannockburn IL 60015-5405 |
| Practice Telephone | 8007364872 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | CLIFFORD BERMAN (SECRETARY) |
| Authorized Official Telephone | 8008796137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | Agencies |
| Other Name | Type Code |
|---|---|
| Crescent Healthcare | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
15025 INNOVATION DR STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639480833 | Harjit Kaur Mahil | Pharmacist | 15025 Innovation Dr Ste 100, San Diego, CA 92128-3456 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437406105 | Bioscrip Infusion Services, Inc. | Home Infusion | 5744 Pacific Center Blvd, Suite 301-305, San Diego, CA 92121-4208 | 2012-08-13 |
| 1730273582 | Ucsd Medical Center | Home Infusion | 9610 Ridgehaven Ct, Suite A, San Diego, CA 92123-5603 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911412 | Blue Ivory and Palliative Care, Inc | Home Infusion | 2777 Pacific Ave Ste 2k, Long Beach, CA 90806-2625 | 2020-10-27 |
| 1164022513 | Qu Bit Hospice and Palliative Care, Inc. | Home Infusion | 24910 Avenue Tibbitts Ste 6, Valencia, CA 91355-3426 | 2020-10-27 |
| 1326646423 | Option Care Enterprises, Inc. | Home Infusion | 5800 District Blvd Unit 200, Bakersfield, CA 93313-2148 | 2020-10-12 |
| 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 |
| 1801401849 | Bioscrip Infusion Services, Inc | Home Infusion | 199 Technology Dr Ste 140&150, Irvine, CA 92618-2451 | 2020-09-15 |
| 1952934291 | Rite Care Home Health | Home Infusion | 2312 W Victory Blvd Ste 203, Burbank, CA 91506-1281 | 2020-02-14 |
| 1477185502 | Ready Now Staffing Corporation | Home Infusion | 35 Linden Ave Ste 101, Long Beach, CA 90802-5033 | 2020-02-06 |
| 1114577509 | Oso Home Care, Inc. | Home Infusion | 2811 N Lima St, Burbank, CA 91504-2511 | 2019-09-17 |
| 1811557366 | Brothers Pharmacy, Inc. | Home Infusion | 11705 Slate Ave Ste 100, Riverside, CA 92505-5198 | 2019-06-17 |
| Find all providers with the same taxonomy | ||||
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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.