MEDICARE: CRESHINE JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	374U00000X	Home Health Aide
3	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1134766918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRESHINE JOHNSON

Provider Business Mailing Address
First Line	:	215 LARDNER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-5907
Country	:	US
Telephone Number	:	267-235-6792
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 LARDNER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-5907
Country	:	US
Telephone Number	:	267-235-6792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2019
Last Update Date	:	11/29/2019

Similar Medicare Providers

1881231223 — SUNSHINES LOVING HANDS LLC
Practice Location Address:

215 LARDNER ST
PHILADELPHIA, PA
19111-5907

Practice Phone: 267-235-6792
Practice Fax:

1003447970 — A SHELTERING EMBRACE, LLC
Practice Location Address:

229 LARDNER ST
PHILADELPHIA, PA
19111-5907

Practice Phone: 215-278-1299
Practice Fax:

1649206376 — CLARENCE VERDELL MD
Practice Location Address:

1401 S 4TH ST
PHILADELPHIA, PA
19147-5907

Practice Phone: 215-339-1070
Practice Fax:

1831358969 — CHRISTINA WRIGHT-CHRISTIAN
Practice Location Address:

1401 S 4TH ST , 4TH FLOOR
PHILADELPHIA, PA
19147-5907

Practice Phone: 215-339-1070
Practice Fax:

1609035732 — MYRA COUSINS
Practice Location Address:

1401 S 4TH ST , 4TH FLOOR
PHILADELPHIA, PA
19147-5907

Practice Phone: 215-339-1070
Practice Fax:

1427217561 — DAVID ROUSH
Practice Location Address:

1401 S 4TH ST , 4TH FLOOR
PHILADELPHIA, PA
19147-5907

Practice Phone: 215-339-1070
Practice Fax:

Directions to “ CRESHINE JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.