SOUTHERN CRESCENT HOME CARE
NPI 1295065175
In Home Supportive Care in Jonesboro, GA

Q: What is Southern Crescent Home Care's NPI number?

The NPI number for Southern Crescent Home Care is 1295065175. It was assigned to this organization in the NPPES registry on December 28, 2009.

Q: What is Southern Crescent Home Care's specialty?

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

Active since December 28, 2009

1351 GRINDENWALD DR, JONESBORO, GA 30238(678) 360-6003(770) 472-0107 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Crescent Home Care NPPES

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

SOUTHERN CRESCENT HOME CARE (NPI 1295065175) is a healthcare organization registered as an in home supportive care in Jonesboro, Georgia and active in the NPI registry since December 2009. The organization lists Jonathan Onyibo Moh, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295065175

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameSOUTHERN CRESCENT HOME CARE

Location Address1351 GRINDENWALD DRJonesboro, GA 30238-8001

Mailing Address1351 Grindenwald DrJonesboro, GA 30238-8001 · (678) 360-6003 · Fax (770) 472-0107

Phone(678) 360-6003

Fax(770) 472-0107

Organization SubpartNo

Authorized OfficialJonathan Onyibo MohAdministrator · (678) 360-6003

Enumeration DateDecember 28, 2009

✔ NPI 1295065175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in GA · 031-R-0360

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.

1351 GRINDENWALD DR, Jonesboro, GA 30238

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Other Identifiers 1

Medicaid164763686AGA

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 Southern Crescent Home Care's NPI number?

The NPI number for Southern Crescent Home Care is 1295065175. It was assigned to this organization in the NPPES registry on December 28, 2009.

Where is Southern Crescent Home Care located?

Southern Crescent Home Care is located at 1351 Grindenwald Dr, Jonesboro, GA 30238. The listed phone number is (678) 360-6003.

What is Southern Crescent Home Care'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 Southern Crescent Home Care was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.