Organization
CRESCENT HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHAD FARAH (OWNER/ADMINISTRATOR)
(703) 829-6355
Entity
Organization
Contact information
Practice address
42871 IRON BIT PL, CHANTILLY, VA 20152-6365
(703) 829-6355
Mailing address
42871 IRON BIT PL, CHANTILLY, VA 20152-6365
(703) 829-6355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO-0006107
—
VA
Enumeration date
11/05/2025
Last updated
12/15/2025
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