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Cresco Care LLC

Adolescent and Children Mental Health Clinic/Center in Ooltewah, TN · enumerated 2013 · authorized official Anton Demenchuk, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730425240

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Registry record

Entity type Organization (Type 2)
Legal business name Cresco Care LLC
Practice address 9465 Homewood Cir, Ooltewah, TN, 37363
Phone (423) 200-4422
Enumeration date Jan 2, 2013
Last updated in NPPES Dec 19, 2013

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Anton Demenchuk
Title Executive Director
Phone (646) 770-2691

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.

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Frequently asked questions

What is the NPI number for Cresco Care LLC?
The NPI for Cresco Care LLC is 1730425240, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Cresco Care LLC?
NPPES lists Anton Demenchuk (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-19.