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

Cresthaven Services LLC

Organization Home Health Agency · NPI 1124801246

Cresthaven Services LLC is a Home Health Agency in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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 # 415-1
Phoenix, AZ 85015-3210
Phone: (623) 632-9009
Fax: (602) 962-6322
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
Home Health Agency Taxonomy 251E00000X

Record details

NPI number1124801246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmanuel Noumossie — Owner · (623) 632-9009
NPI enumeratedAugust 14, 2023
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address5060 N 19th Ave # 415-1, Phoenix, AZ 85015-3210

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