Active NPI
Cross Country Care Inc
- In Home Supportive Care Agency
- Mesa, AZ
National Provider Identifier
1104674811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CROSS COUNTRY CARE INC
- Practice address
- 3707 E Southern Ave
Mesa, AZ 85206-2569 - Phone
- (480) 696-6420
- NPI assigned
- May 8, 2024
- Organization subpart
- Yes
- Parent organization
- CROSS COUNTRY CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Masserman
- Title
- President
- Phone
- (855) 507-7041
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
3707 E Southern Ave
Mesa, AZ 85206-2569
Mailing address
2910 N Swan Rd Ste 203
Tucson, AZ 85712-6011
Phone (480) 696-6420
Other names 1
- Preferred Care at Home
National Provider Directory
National Provider Directory- Tax ID family
- Cross Country Care Inc
- Part of
- Cross Country Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Tucson, AZ
- NPI 1801673264
Locations
2910 N Swan Rd
Ste 203
Tucson, AZ 85712
Phone (520) 333-4933
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- In Home Supportive Care Agency
- Tucson, AZ
- NPI 1801673264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1104674811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N SWAN RD STE 203",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126011",
"telephone_number": "480-696-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "480-696-6420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS COUNTRY CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CROSS COUNTRY CARE INC",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "MASSERMAN",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-507-7041"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Preferred Care at Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.