Crescent Cities Charities Inc
Crescent Cities Charities Inc is a healthcare organization registered as Skilled Nursing Facility in Riverdale, MD, holding Type 2 (organization) NPI 1407802010 since 2006. The authorized official on file is Betsy Godbey, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407802010 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crescent Cities Charities Inc |
| Other name | <Unavail> |
| Practice address | 4409 E WEST HWY, Riverdale, MD, 20737 |
| Phone | 3016992000 |
| Fax | 3016997786 |
| Enumeration date | 2006-05-25 |
| Last updated in NPPES | 2018-06-21 |
Authorized official
| Name | Betsy Godbey |
|---|---|
| Title | Secretary |
| Phone | 3015677076 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Secondary | 16ALA53 | MD |
| 314000000X | Skilled Nursing Facility | Primary | 16-039 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2197479 | Other | — | AETNA-HMO |
| 53957 | Other | — | AMERIGROUP |
| HV2 | Other | — | CAREFIRST BLUECHOICE |
| 022S | Other | — | CAREFIRST - PROV/INQ# |
| 088101500 | Medicaid | MD | — |
| 276684 | Other | — | UNITED - MAMSI |
| 71-00483 | Other | — | UNITED - EVERCARE |
| HV2 | Other | — | CAREFIRST - IND/PPO |
Copy-ready billing details
Provider: Crescent Cities Charities Inc NPI: 1407802010 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 4409 E WEST HWY, Riverdale, MD, 20737
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699804344 | Yvonne Rudder | Individual | Internal Medicine Physician | Riverdale, MD |
| 1730383738 | Kimberly Street | Individual | Physical Therapist | Riverdale, MD |
| 1184828162 | Elizabeth Shabazz | Individual | Physical Therapist | Riverdale, MD |
| 1598962839 | June Brown Davis | Individual | Occupational Therapist | Riverdale, MD |
| 1366635625 | Tracy Bryan-Oliver | Individual | Physical Therapist | Riverdale, MD |
| 1700166790 | David Moses | Individual | Occupational Therapist | Riverdale, MD |
| 1013266170 | George France | Individual | Physical Therapy Assistant | Riverdale, MD |
| 1740729151 | Crescent Cities Charities Inc | Organization | Physical Therapist | Riverdale, MD |
Verify this record
Cross-check NPI 1407802010 against the authoritative CMS record: view Crescent Cities Charities Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Crescent Cities Charities Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-21.