Organization · NPI-2
Crescent Boulevard Care LLC
In Home Supportive Care · Spring, TX
NPI number1427879550
StatusActive
Last updated in NPPESMay 20, 2026
Details
- NPI
- 1427879550
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent Boulevard Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2024
- Certification date
- May 20, 2026
- Last updated
- May 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
24330 Saffron Field LnSpring, TX 77373-5337
Phone 971-348-1411
Mailing address
24330 Saffron Field LnSpring, TX 77373-5337
Phone 971-348-1411
Authorized official
Wahab Olaiya Alabi
Managing Director
9713481411
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