MEDICARE: CRESCENTCARE, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD024974	LA
2	208000000X	Pediatrics Physician	MD024974	LA

General Provider Information

NPI Number	:	1164489878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRESCENTCARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 6757
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70174-6757
Country	:	US
Telephone Number	:	504-606-1050
Fax Number	:

Provider Business Practice Location Address
First Line	:	9402 HIGHWAY 23
Second Line	:
City	:	BELLE CHASSE
State	:	LA
Zip	:	70037-2150
Country	:	US
Telephone Number	:	504-606-1050
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	CHRISTY L VALENTINE
Credential	:	M.D.
Telephone Number	:	504-606-1050

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	09/11/2025

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