Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cresthaven LLC

Organization In Home Supportive Care Agency · NPI 1063165082

Cresthaven LLC is an In Home Supportive Care Agency in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5060 N 19th Ave # 207-10
Phoenix, AZ 85015-3210
Phone: (623) 632-9009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Chore Provider Taxonomy 372500000X
Personal Care Attendant Taxonomy 3747P1801X
Homemaker Taxonomy 376J00000X

Record details

NPI number1063165082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmanuel Noumossie — Owner · (623) 632-9009
NPI enumeratedJanuary 31, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address5060 N 19th Ave # 207-10, Phoenix, AZ 85015-3210

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