NPI age
16 years
Enumerated 2009-12-28
● Active Type 2 · Organization
Southern Crescent Home Care
Southern Crescent Home Care is 1 of 1784 in home supportive care organizations in Georgia.
Primary specialty
In Home Supportive Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moh
Administrator
Last NPPES update
2009-12-28
Source: monthly bulk 2026-05
How this organization compares
Across 1784 active in home supportive care providers in Georgia.
NPI age
16 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1351 Grindenwald Dr
Jonesboro, GA 302388001
Mailing address
1351 Grindenwald Dr
Jonesboro, GA 302388001
Authorized official
Jonathan Onyibo Moh
Administrator
📞 6783606003
Specialties
-
In Home Supportive Care PrimaryAn In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 164763686A |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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