Active NPI
Crossroads Home Care, LLC
- Assisted Living Facility
- Escondido, CA
National Provider Identifier
1124549613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CROSSROADS HOME CARE, LLC
- Practice address
- 1044 Jessica LN
Escondido, CA 92027-4519 - Phone
- (858) 382-1568
- Fax
- (760) 298-2178
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hamid M Montazer
- Title
- Manager
- Phone
- (858) 382-1568
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 374603202 | CA | |
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1044 Jessica LN
Escondido, CA 92027-4519
Mailing address
3255 Beven Dr
Escondido, CA 92027-6231
Phone (858) 382-1568
Other practice location 1
2512 Heather Pl
Escondido, CA 92027-3534
Phone (760) 690-2820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374603202 | Other | CA | CALIFORNIA COMUNITY CARE LICENSING |
| 374604496 | Other | CA | DEPARTMENT OF SOCIAL SERVICES |
Other names 2
- Arnicare Villa
- Crossroads Home Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1124549613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 BEVEN DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920276231",
"telephone_number": "858-382-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 JESSICA LN",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920274519",
"telephone_number": "858-382-1568",
"fax_number": "760-298-2178"
}
],
"practiceLocations": [
{
"address_1": "2512 Heather Pl",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920273534",
"country_code": "US",
"telephone_number": "760-690-2820",
"fax_number": "760-294-5949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CROSSROADS HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-05",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "MONTAZER",
"authorized_official_first_name": "HAMID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "858-382-1568",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "374603202",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA COMUNITY CARE LICENSING",
"identifier": "374603202",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF SOCIAL SERVICES",
"identifier": "374604496",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arnicare Villa",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Crossroads Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.