Healthcare Provider Details

I. General information

NPI: 1104783364
Provider Name (Legal Business Name): CRESCENT MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5242 ANGOLA RD STE 85
TOLEDO OH
43615-6334
US

IV. Provider business mailing address

5242 ANGOLA RD STE 85
TOLEDO OH
43615-6334
US

V. Phone/Fax

Practice location:
  • Phone: 419-537-3495
  • Fax:
Mailing address:
  • Phone: 419-537-3495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: ALI ALHAMED
Title or Position: CEO
Credential:
Phone: 419-537-3495