Crescent Development Group, Inc. in Energy - Adult Care Home
Crescent Development Group, Inc. - NPI 1114142049
Crescent Development Group, Inc. is a Adult Care Home in Energy, Illinois. Crescent Development Group, Inc. practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Crescent Development Group, Inc. is 1114142049. The last update date is 2020-08-22.
Crescent Development Group, Inc.'s current location address is 204 Walnut St, Energy, Illinois. You can contact this provider via phone number 6189881702 and fax number 6189423345. The mailing address for Crescent Development Group, Inc. is 204 Walnut St, Energy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crescent Development Group, Inc. |
|---|---|
| Address | 204 Walnut St, Energy, Illinois |
| Phone Number | 6189881702 |
| Fax Number | 6189423345 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Dodson M Jane |
| Telephone Number | 6183279846 |
NPI Number Detail
| NPI Number | 1114142049 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 204 Walnut St |
|---|---|
| City | Energy |
| State | Illinois (IL) |
| Post Code | 62933 |
| Phone Number | 6189881702 |
| Fax Number | 6189423345 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 01S002 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the Crescent Development Group, Inc.'s unique identification number?
The Crescent Development Group, Inc. has been assigned the NPI (National Provider Identifier) Number 1114142049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Crescent Development Group, Inc.?
The Crescent Development Group, Inc. is situated at 204 Walnut St, in the city of Energy, state of IL, with the zip code 62933.
What is Crescent Development Group, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crescent Development Group, Inc.'s specialized field of practice is Adult Care Home, and the corresponding taxonomy code that categorizes this area of specialization is 311Za0620X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114142049 to Crescent Development Group, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1114142049 to Crescent Development Group, Inc. on 2007-04-16.
As of what date was the information pertaining to Crescent Development Group, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crescent Development Group, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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