CROSSROADS HOME CARE, LLC (NPI# 1124549613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124549613 |
Entity Type | Organization |
Organization Name | CROSSROADS HOME CARE, LLC |
Other Organization Name | CROSSROADS HOME CARE |
Practice Address |
2512 Heather Pl Escondido CA 92027-3534 |
Mailing Address |
3255 Beven Dr Escondido CA 92027-6231 |
Practice Telephone | 7606902820 |
Practice Fax Number | 7602945949 |
Mailing Telephone | 8583821568 |
Enumeration Date | 2017-07-05 |
Last Update Date | 2017-07-05 |
Authorized Official Name | MR. HAMID M MONTAZER (MANAGER) |
Authorized Official Telephone | 8583821568 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 374603202 | CA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CALIFORNIA COMUNITY CARE LICENSING | 374603202 | 01 |
Other Name | Type Code |
---|---|
Crossroads Home Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831687649 | Crossroads Home Care, LLC | In Home Supportive Care | 2851 S Parker Rd, Aurora, CO 80014-2736 | 2018-04-26 |
Street Address |
2512 HEATHER PL |
City | ESCONDIDO |
State | CA |
Zip Code | 92027-3534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
Find all providers in zip 92027 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740665108 | San Diego Brain Injury Foundation | Assisted Living Facility | 2033 Oro Verde Rd, Escondido, CA 92027-4810 | 2015-07-28 |
1093194748 | Splendor Valley, LLC | Assisted Living Facility | 930 Rockwell Springs Ct, Escondido, CA 92025-5900 | 2015-05-28 |
1184013401 | Country Club Guest Home | Assisted Living Facility | 25533 Rua Michelle, Escondido, CA 92026-8600 | 2015-01-12 |
1700283348 | Rolling Meadows Care Homes, Inc | Assisted Living Facility | 1723 Casero Pl, Escondido, CA 92029-4215 | 2014-11-25 |
1174936850 | Anne's Place II | Assisted Living Facility | 2690 Mary Lane Pl, Escondido, CA 92025-7754 | 2014-06-10 |
1235579343 | Affordable Housing Initiatives Inc. | Assisted Living Facility | 612 Tranquility Gln, Escondido, CA 92027-3984 | 2013-07-03 |
1073842803 | Emeritus Corporation | Assisted Living Facility | 1351 E Washington Ave, Escondido, CA 92027-1934 | 2009-12-07 |
1720638208 | Del Dios Care, LLC | Assisted Living Facility | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2019-09-16 |
1154978021 | Bayshire LLC | Assisted Living Facility | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2019-08-24 |
1376056002 | Affordable Senior Housing Foundation | Assisted Living Facility | 612 Tranquility Gln, Escondido, CA 92027-3984 | 2017-11-16 |
Find all providers in ESCONDIDO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.