CRESTHAVEN SERVICES LLC
NPI 1124801246
In Home Supportive Care in Phoenix, AZ

Q: What is Cresthaven Services LLC's NPI number?

The NPI number for Cresthaven Services LLC is 1124801246. It was assigned to this organization in the NPPES registry on August 14, 2023.

Q: What is Cresthaven Services LLC's specialty?

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

Active since August 14, 2023

5060 N 19TH AVE # 415-1, PHOENIX, AZ 85015(623) 632-9009(602) 962-6322 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Aug 14, 2023 (2 updates tracked since 2023).

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About Cresthaven Services Llc NPPES

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

CRESTHAVEN SERVICES LLC (NPI 1124801246) is a healthcare organization registered as an in home supportive care in Phoenix, Arizona and active in the NPI registry since August 2023. The organization lists Emmanuel Noumossie, Owner, as its authorized official.

NPPES Registry Identity

NPI1124801246

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameCRESTHAVEN SERVICES LLC

Location Address5060 N 19TH AVE # 415-1Phoenix, AZ 85015-3210

Mailing Address5060 N 19th Ave # 415-1Phoenix, AZ 85015-3210 · (623) 632-9009 · Fax (602) 962-6322

Phone(623) 632-9009

Fax(602) 962-6322

Organization SubpartNo

Authorized OfficialEmmanuel NoumossieOwner · (623) 632-9009

Enumeration DateAugust 14, 2023

Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1124801246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedHome HealthTaxonomy 251E00000X

5060 N 19TH AVE # 415-1, Phoenix, AZ 85015

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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 Services LLC's NPI number?

The NPI number for Cresthaven Services LLC is 1124801246. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Cresthaven Services LLC located?

Cresthaven Services LLC is located at 5060 N 19th Ave # 415-1, Phoenix, AZ 85015. The listed phone number is (623) 632-9009.

What is Cresthaven Services 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 Services LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.