Organization Active NPI

Crosvic Health and Wellness LLC

  • Home Health Agency
  • Avondale, AZ
National Provider Identifier
1205634045
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CROSVIC HEALTH AND WELLNESS LLC
Practice address
12860 W Monte Vista Rd
Avondale, AZ 85392-7150
Phone
(832) 208-7495
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Bosede Obadina, NP
Title
Cmo
Phone
(832) 208-7495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12860 W Monte Vista Rd
Avondale, AZ 85392-7150

Mailing address

12860 W Monte Vista Rd
Avondale, AZ 85392-7150
Phone (832) 208-7495

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1205634045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12860 W MONTE VISTA RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853927150",
            "telephone_number": "832-208-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12860 W MONTE VISTA RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853927150",
            "telephone_number": "832-208-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSVIC HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "OBADINA",
        "authorized_official_first_name": "BOSEDE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "832-208-7495",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.