CROSSROADS HOME HEALTH, INC. (NPI# 1184771875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184771875 |
| Entity Type | Organization |
| Organization Name | CROSSROADS HOME HEALTH, INC. |
| Practice Address |
1622 Davie Ave Statesville NC 28677-3520 |
| Practice Telephone | 7049246921 |
| Practice Fax Number | 7049246923 |
| Mailing Telephone | 7049246921 |
| Mailing Fax Number | 7049246923 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CORIE BROOKE JORDAN (OWNER) |
| Authorized Official Telephone | 7049246921 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409634 | 05 | |
| NC | 6601036 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128246 | Crossroads Home Health, Inc. | Home Health | 1910 Commerce St, Victoria, TX 77901-5598 | 2006-03-15 |
| 1275930406 | Crossroads Home Health, Inc. | In Home Supportive Care | 3600 E State St, Suite 201, Rockford, IL 61108-1978 | 2014-12-03 |
| Street Address |
1622 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821416561 | Agape Home Care Services | Home Health | 2572 Davie Ave, Statesville, NC 28625-9249 | 2014-03-31 |
| 1356668529 | Home Care Helpers LLC | Home Health | 211 South Center St, Suite 212, Statesville, NC 28677-5873 | 2010-04-28 |
| 1356676084 | Shining Stars Home Health Agency | Home Health | 2117 Windrush Ct, Statesville, NC 28625-5000 | 2009-10-14 |
| 1467580399 | Senior Companion Services LLC | Home Health | 212 N Mulberry St, Statesville, NC 28677-5138 | 2007-03-01 |
| 1073680724 | Personal Touch Care Team, Inc | Home Health | 137 Jennings Rd Ste B, Statesville, NC 28625-9598 | 2006-11-29 |
| 1376628578 | Gibson Care Corp. | Home Health | 608 Signal Hill Drive Ext, Statesville, NC 28625-4353 | 2006-10-26 |
| 1861503252 | Samaritan Healthcare, Inc | Home Health | 1433 Davie Ave, Statesville, NC 28677-3515 | 2006-08-31 |
| 1790793263 | North Carolina Home Care, Inc | Home Health | 218 W Broad St, Statesville, NC 28677-5258 | 2006-08-03 |
| 1215986260 | Iredell Memorial Hospital, Inc. | Home Health | 541 Gaither Rd, Statesville, NC 28625-8383 | 2006-05-08 |
| 1629318704 | Home Care Helpers LLC | Home Health | 211 S Center St, Suite 212, Statesville, NC 28677-5873 | 2013-02-26 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on CROSSROADS HOME HEALTH, INC..
| 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.