Healthcare Provider Details

I. General information

NPI: 1134030083
Provider Name (Legal Business Name): CRAWFORD HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 DIVING HAWK TRL
MADISON WI
53713-3385
US

IV. Provider business mailing address

729 DIVING HAWK TRL
MADISON WI
53713-3385
US

V. Phone/Fax

Practice location:
  • Phone: 608-445-9932
  • Fax:
Mailing address:
  • Phone: 608-445-9932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: FARUK AHMED
Title or Position: DIRECTOR
Credential:
Phone: 608-445-9932