Healthcare Provider Details

I. General information

NPI: 1235086661
Provider Name (Legal Business Name): CRESCENT CARE HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 RESPONSE RD STE 350
SACRAMENTO CA
95815-5255
US

IV. Provider business mailing address

1651 RESPONSE RD STE 350
SACRAMENTO CA
95815-5255
US

V. Phone/Fax

Practice location:
  • Phone: 916-313-9100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SYED FAHAD SHAH
Title or Position: DIRECTOR, SECRETARY
Credential:
Phone: 916-313-9100