# CRESCENT HOME HEALTH AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689851123
- **Authorized official:** AMEEN BAJWA (CFO)
- **Authorized official phone:** (314) 741-3800

## Contact information

- **Practice address:** 219 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
- **Practice address phone:** (314) 741-3800
- **Practice address fax:** (314) 741-3801
- **Mailing address:** 219 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
- **Mailing address phone:** (314) 741-3800
- **Mailing address fax:** (314) 741-3801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 830-HH | MO | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 12/06/2021