OrganizationActive
Cresthaven Services LLC
NPI 1124801246 · In Home Supportive Care Agency · Phoenix, AZ
Cresthaven Services LLC is a In Home Supportive Care Agency organization in Phoenix, AZ (NPI 1124801246).
Provider details
- NPI number
- 1124801246
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Emmanuel Noumossie, Owner(623) 632-9009
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5060 N 19th Ave # 415-1
Phoenix, AZ 85015-3210
Phone: (623) 632-9009
Fax: (602) 962-6322
Street-level locationGet directions
Mailing address
5060 N 19th Ave # 415-1
Phoenix, AZ 85015-3210
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Cresthaven Services LLC's NPI number?
- Cresthaven Services LLC's National Provider Identifier (NPI) is 1124801246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cresthaven Services LLC?
- Cresthaven Services LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Cresthaven Services LLC located?
- Cresthaven Services LLC's practice location on file with NPPES is 5060 N 19th Ave # 415-1, Phoenix, AZ 85015-3210.
- What is Cresthaven Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Cresthaven Services LLC is (623) 632-9009.
- Who is the authorized official for Cresthaven Services LLC?
- The authorized official listed on Cresthaven Services 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 Services LLC's NPI active?
- Yes — Cresthaven Services LLC's NPI (1124801246) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.