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Contact Information

CRESCENT HOME HEALTH AGENCY, LLC
7 PARK PL STE B
SWANSEA, IL62226
 Phone: 618-277-0939
 Fax: 618-277-0949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CRESCENT HOME HEALTH AGENCY, LLC

NPI # 1154643328
LBN Legal business name CRESCENT HOME HEALTH AGENCY, LLC
Authorized official SIKANDER BAJWA - (CEO/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2010
Last updated 08/28/2018 - About 8 years ago
Identifiers
IL License # 1011293
IL Other 14-8190 MEDICARE CCN (PTAN)
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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