Healthcare Provider Details

I. General information

NPI: 1023924636
Provider Name (Legal Business Name): CRESCENT LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5098 SUMTER AVE
CINCINNATI OH
45238-3825
US

IV. Provider business mailing address

5098 SUMTER AVE
CINCINNATI OH
45238-3825
US

V. Phone/Fax

Practice location:
  • Phone: 513-568-3348
  • Fax:
Mailing address:
  • Phone: 513-568-3348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KEIARA ALLEN
Title or Position: PRESIDENT
Credential: RN
Phone: 513-568-3348