Cresthaven LLC
NPI 1063165082 · In Home Supportive Care Agency · Phoenix, AZ
Cresthaven LLC is a In Home Supportive Care Agency organization in Phoenix, AZ (NPI 1063165082).
Provider details
- NPI number
- 1063165082
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Emmanuel Noumossie, Owner(623) 632-9009
Specialties & taxonomies
Agencies
- Homemaker376J00000X
Nursing Service Related Providers
- Chore Provider372500000X
Nursing Service Related Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-31
- Last updated
- 2022-03-28
- Certified
- 2022-03-28
Frequently asked questions
- What is Cresthaven LLC's NPI number?
- Cresthaven LLC's National Provider Identifier (NPI) is 1063165082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cresthaven LLC?
- Cresthaven LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Cresthaven LLC located?
- Cresthaven LLC's practice location on file with NPPES is 5060 N 19th Ave # 207-10, Phoenix, AZ 85015-3210.
- What is Cresthaven LLC's phone number?
- The practice phone number listed in the NPPES registry for Cresthaven LLC is (623) 632-9009.
- Who is the authorized official for Cresthaven LLC?
- The authorized official listed on Cresthaven LLC's NPPES record is Emmanuel Noumossie, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cresthaven LLC's NPI active?
- Yes — Cresthaven LLC's NPI (1063165082) is active in the NPPES registry as of the last update on 2022-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.