| Organization Name: | CRESCENT HOMECARE, LLC |
| NPI Number: | 1023449428 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASMIN BAJRAMOVIC (OWNER/ADMINISTRATOR) |
| Mailing Address: | 3536 Carlin Springs Rd Ste 11n Falls Church |
| State: | VA US |
| Postal Code: | 220413035 |
| Phone Number: | 5714354732 |
| Fax Number: | 7035461014 |
| NPI Enumeration Date: | 12/10/2013 |
| NPI Last Update Date: | 12/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HCO-141077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |