MEDICARE: CRESCENT MEDICAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225850142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRESCENT MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	3338 DORR ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-2717
Country	:	US
Telephone Number	:	419-537-3495
Fax Number	:

Provider Business Practice Location Address
First Line	:	3338 DORR ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-2717
Country	:	US
Telephone Number	:	419-537-3495
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALI ALHAMED
Credential	:
Telephone Number	:	419-537-3495

Provider Enumeration Date	:	10/30/2024
Last Update Date	:	10/30/2024

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