Crosslink Palliative & Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CROSSLINK PALLIATIVE & HOSPICE CARE LLC

Practice address

2320 Paseo del Prado Ste B205-a
Las Vegas, NV 89102-4358

Phone

(702) 841-7287

NPI assigned

Oct 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Junwyn Thomas Agustin

Title

Manager

Phone

(702) 841-7287

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291645

Legal name

CROSSLINK PALLIATIVE & HOSPICE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 18, 2023

Last certification

Jul 21, 2023

Organization structure

LLCProprietary

Incorporated

Mar 22, 2022 in NV

Enrollment address

2320 Paseo del Prado
Ste B205-a
Las Vegas, NV 89102

Listed as

Crosslink Palliative and Hospice Care IncCCN 291645

Certified

Aug 18, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Salvador Garcia Borromeo III, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1669461919

  Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salvador Garcia Borromeo III, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1669461919
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Salvador Garcia Borromeo III, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1669461919

  Hospice

  Care Compare affiliation
• Matthew Spencer Gibson, M.D.

  • Internal Medicine Physician
  • North Las Vegas, NV
  • NPI 1174843205

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1083321228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO STE B205-A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024358",
            "telephone_number": "702-841-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO STE B205-A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024358",
            "telephone_number": "702-841-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLINK PALLIATIVE & HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "JUNWYN THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-841-7287"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taushane Cross
• Xavier Wyane Cross
• Jessi Crossetti
• Aisha Crossley
• David M Crossley, M.D.
• Jacob Daniel Crossman
• Crossroads Behavioral Healthcare
• Crossroads Saint LLC
• Crossroads to Recovery LLC
• Crossroads Wellness, LLC

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.