MEDICARE: CRESENTMOON TOTAL HOME HEALTHCARE SOLUTIONS 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	:	1528918661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRESENTMOON TOTAL HOME HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1163 PONDVIEW AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-3332
Country	:	US
Telephone Number	:	234-438-0533
Fax Number	:

Provider Business Practice Location Address
First Line	:	1163 PONDVIEW AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-3332
Country	:	US
Telephone Number	:	234-438-0533
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELINDA SMITH
Credential	:
Telephone Number	:	216-438-0533

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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