NPIMap

Organization Active NPI

Cross Care, Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1104132216
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CROSS CARE, INC
Practice address
4055 Wilshire Blvd Ste 205
Los Angeles, CA 90010-3406
Phone
(213) 384-3711
Fax
(213) 384-3701
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Ms. Hee J Choi, R.N.
Title
Administrator
Phone
(213) 384-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

4055 Wilshire Blvd Ste 205
Los Angeles, CA 90010-3406

Mailing address

4055 Wilshire Blvd Ste 205
Los Angeles, CA 90010-3406
Phone (213) 384-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000630 CA Part A Provider - Home Health Agency 0042496820 Practice locations: Los Angeles, CA

Home health agency certification: CCN 059383

Legal name
CROSS CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 6, 2012
Last certification
Jul 1, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 28, 2009 in CA
Enrollment address
4055 Wilshire Blvd 205
Los Angeles, CA 90010-3406

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cross Care, IncCCN 059383
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jan 6, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2024182Cross Care, Inc4055 Wilshire Blvd Ste 205, Los Angeles, CA 90010Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Locations

4055 Wilshire Blvd
Ste 205
Los Angeles, CA 90010
Phone (213) 384-3711

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Hee J Choi Individual 5% Or Greater Direct Ownership Interest May 28, 2009 100%
Corporate Director May 28, 2009
W-2 Managing EmployeeAd; May 28, 2009 100%

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1104132216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 WILSHIRE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103406",
            "telephone_number": "213-384-3711",
            "fax_number": "213-384-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 WILSHIRE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103406",
            "telephone_number": "213-384-3711",
            "fax_number": "213-384-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-384-3711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.