Organization Active NPI

Crossroads Home Care, LLC

  • Assisted Living Facility
  • Escondido, CA
National Provider Identifier
1124549613
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 21, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
374603202OtherCACALIFORNIA COMUNITY CARE LICENSING
374604496OtherCADEPARTMENT OF SOCIAL SERVICES

Other names 2

  • Arnicare Villa Doing business as
  • Crossroads Home Care Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.