MEDICARE: CRESCENT COMMUNITY SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1821926783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRESCENT COMMUNITY SERVICES INC

Provider Business Mailing Address
First Line	:	6935 ALIANTE PKWY # 104-399
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5818
Country	:	US
Telephone Number	:	702-445-0420
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 BOX CANYON DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0428
Country	:	US
Telephone Number	:	702-445-0420
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	AHMAD HOBBS
Credential	:
Telephone Number	:	702-445-0420

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “CRESCENT COMMUNITY SERVICES INC ” Practice Location

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