Crossroads Senior Care at Home, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CROSSROADS SENIOR CARE AT HOME, INC.

Practice address

701 E Main St Ste 10
Russellville, AR 72801-5209

Phone

(479) 498-6342

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Nicole Smith

Title

Administrator

Phone

(479) 498-6342

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1437616802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11563",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728121563",
            "telephone_number": "479-498-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST STE 10",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015209",
            "telephone_number": "479-498-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SENIOR CARE AT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-498-6342"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Criner, LAC
• Aneta Criswell, CASE MANAGER PARAPRO
• Amy Marie Crites
• Allison Biggers Croom
• Joseph Kimes Croom, CASE MANAGER PARAPRO
• James Roy Crouch Jr., MD
• Morgan Deanne Crowder, PT
• Aaron Croy, LPC
• Raven Cruz-Humberto
• Jonathan Curlin, DDS

• In Home Supportive Care Agency in Russellville, AR
• Providers in Russellville, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.