Crossroads Home Care Services, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CROSSROADS HOME CARE SERVICES, LLC

Doing business as

Regional Hospice Marion

Practice address

1201 Weaver Rd
Herrin, IL 62948-2621

Phone

(618) 988-1840

Fax

(618) 988-8623

NPI assigned

Mar 29, 2011

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurie Holtsford

Title

Dir. Bussiness Office Support

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other names 1

• Regional Hospice Marion Doing business as

Tax ID family

Crossroads Home Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crossroads Home Care Services, LLC

  dba Mederi Caretenders

  • Home Health Agency
  • Mount Vernon, IL
  • NPI 1437138070
  NPD tax ID

Locations

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1225327356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WEAVER RD",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482621",
            "telephone_number": "618-988-1840",
            "fax_number": "618-988-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WEAVER RD",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482621",
            "telephone_number": "618-988-1840",
            "fax_number": "618-988-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIR. BUSSINESS OFFICE SUPPORT",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Hospice Marion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Cosimi, D.M.D., M.S.
• Erica Cowan, MSW
• Emmy Gael Crain
• Scott Wesley Cranick, PA-C
• Amy Creek-Koehn, LCPC
• Paul J Cruz
• Maria Cull, PT
• Darrell Scott Cutler, PAC
• Brian K. Daines, M.D.
• Tracy Leanne Dalton, MS CCC-SLP

• Community Based Hospice Care Agency in Herrin, IL
• Providers in Herrin, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.