Cresco Care LLC
NPI 1730425240 · Adolescent and Children Mental Health Clinic/Center · Ooltewah, TN
Cresco Care LLC is a Adolescent and Children Mental Health Clinic/Center organization in Ooltewah, TN (NPI 1730425240).
Provider details
- NPI number
- 1730425240
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anton Demenchuk, Executive Director(646) 770-2691
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2013-01-02
- Last updated
- 2013-12-19
Frequently asked questions
- What is Cresco Care LLC's NPI number?
- Cresco Care LLC's National Provider Identifier (NPI) is 1730425240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cresco Care LLC?
- Cresco Care LLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cresco Care LLC located?
- Cresco Care LLC's practice location on file with NPPES is 9465 Homewood Cir, Ooltewah, TN 37363-5105.
- What is Cresco Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Cresco Care LLC is (423) 200-4422.
- Who is the authorized official for Cresco Care LLC?
- The authorized official listed on Cresco Care LLC's NPPES record is Anton Demenchuk, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cresco Care LLC's NPI active?
- Yes — Cresco Care LLC's NPI (1730425240) is active in the NPPES registry as of the last update on 2013-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.