Healthcare Provider Details

I. General information

NPI: 1922074749
Provider Name (Legal Business Name): CRESCENT HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25901 INDUSTRIAL BLVD BLDG E
HAYWARD CA
94545-2995
US

IV. Provider business mailing address

4222 PAYSPHERE CIR
CHICAGO IL
60674-0042
US

V. Phone/Fax

Practice location:
  • Phone: 510-264-5454
  • Fax: 510-264-5458
Mailing address:
  • Phone: 800-722-8085
  • Fax: 717-808-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number020000580
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPHY47008
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPHY47008
License Number StateCA

VIII. Authorized Official

Name: MEENAL SETHNA
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137