Organization
CRESCENT HEIGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELVIS NGANGLUNG (CEO)
(945) 946-1020
Entity
Organization
Contact information
Practice address
8405 MEADOWVIEW ST, ROWLETT, TX 75088-8925
(945) 946-1020
Mailing address
8405 MEADOWVIEW ST, ROWLETT, TX 75088-8925
(945) 946-1020
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251F00000X
Home Infusion Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
08/28/2024
Last updated
10/29/2025
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