Organization · NPI-2
Crossroads Care Services LLC
Home Health Aide · Newark, NJ
NPI number1033975529
StatusActive
Last updated in NPPESAug 4, 2024
Details
- NPI
- 1033975529
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Care Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2024
- Certification date
- Aug 4, 2024
- Last updated
- Aug 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
721 S 18th StNewark, NJ 07103-1051
Phone 347-445-3587
Mailing address
721 S 18th StNewark, NJ 07103-1051
Authorized official
Daniel Hillary Acheampong
Director
9178708500
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