Crossroads Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CROSSROADS HOME HEALTH, INC.

Practice address

1622 Davie Ave
Statesville, NC 28677-3520

Phone

(704) 924-6921

Fax

(704) 924-6923

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Corie Brooke Jordan

Title

Owner

Phone

(704) 924-6921

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184771875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773520",
            "telephone_number": "704-924-6921",
            "fax_number": "704-924-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773520",
            "telephone_number": "704-924-6921",
            "fax_number": "704-924-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CORIE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-924-6921",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409634",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601036",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Grady Crews, DC
• Rachael P Crews, PA-C
• Denise Groh Criss, PA-C
• David Dewitt Crosby Jr., LPC
• Virginia Cross
• Crossroads Speech Therapy, PLLC
• Desiree' Benfield Crosswhite, BSW, MS, LCSW
• Keith Allen Crouch, DDS
• Timothy Crouch, DMD
• Jennifer Leigh Crow, MA, LPCA, LCASA

• Home Health Agency in Statesville, NC
• Providers in Statesville, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.