Crossroads Home Health, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3000983 Issued in IL

Legal business name

CROSSROADS HOME HEALTH, INC.

Practice address

3600 E State St
Suite 201
Rockford, IL 61108-1978

Phone

(815) 977-3452

Fax

(815) 977-8162

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Mark Harling

Title

Owner

Phone

(815) 977-3452

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visiting Angels of Rockford Doing business as

Locations

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1275930406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E STATE ST",
            "address_2": "SUITE 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081978",
            "telephone_number": "815-977-3452",
            "fax_number": "815-977-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E STATE ST",
            "address_2": "SUITE 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081978",
            "telephone_number": "815-977-3452",
            "fax_number": "815-977-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "HARLING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-977-3452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE",
            "identifier": "3000983",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Rockford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Cree, APRN
• Creek Counseling
• David J Creek, LMFT
• Christine Criel
• Marie Elizabeth Cristoforo, M.S. CF-SLP
• Martha Crotts
• Melissa Crowell, LCSW
• Jason Croxford, DC
• Donald W Cruden, O.D.
• Leah A Crull, OTR/L, CHT

• All providers in Rockford, IL
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.