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CRESTHAVEN LLC
NPI 1063165082
In Home Supportive Care in Phoenix, AZ

Active since January 31, 2022
5060 N 19TH AVE # 207-10, PHOENIX, AZ 85015(623) 632-9009 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cresthaven Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTHAVEN LLC (NPI 1063165082) is a healthcare organization registered as an in home supportive care in Phoenix, Arizona and active in the NPI registry since January 2022. The organization lists Emmanuel Noumossie, Owner, as its authorized official.

NPPES Registry Identity

NPI1063165082
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameCRESTHAVEN LLC
Location Address5060 N 19TH AVE # 207-10Phoenix, AZ 85015-3210
Mailing Address5060 N 19th Ave # 207-10Phoenix, AZ 85015-3210
Phone(623) 632-9009
Organization SubpartNo
Authorized OfficialEmmanuel NoumossieOwner · (623) 632-9009
Enumeration DateJanuary 31, 2022
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1063165082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedChore ProviderTaxonomy 372500000X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedHomemakerTaxonomy 376J00000X
5060 N 19TH AVE # 207-10, Phoenix, AZ 85015
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cresthaven LLC's NPI number?

The NPI number for Cresthaven LLC is 1063165082. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Cresthaven LLC located?

Cresthaven LLC is located at 5060 N 19th Ave # 207-10, Phoenix, AZ 85015. The listed phone number is (623) 632-9009.

What is Cresthaven LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Cresthaven LLC was last updated on March 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.