Organization Active NPI

Cross Cultural Carelink LLC

  • Home Health Agency
  • Chelmsford, MA
National Provider Identifier
1457060964
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CROSS CULTURAL CARELINK LLC
Practice address
3 Courthouse LN Ste 10
Chelmsford, MA 01824-1721
Phone
(978) 954-8282
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Anncarol Kieyah
Title
Owner
Phone
(978) 954-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3 Courthouse LN Ste 10
Chelmsford, MA 01824-1721

Mailing address

3 Courthouse LN Ste 10
Chelmsford, MA 01824-1721
Phone (978) 954-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424000803 MA Part A Provider - Home Health Agency 4981069127 Practice locations: Chelmsford, MA

Home health agency certification: CCN 227778

Legal name
CROSS CULTURAL CARELINK LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 27, 2024
Last certification
Mar 6, 2024
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 18, 2022 in MA
Enrollment address
3 Courthouse LN
Ste 10
Chelmsford, MA 01824-1721
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cross Cultural Carelink LLCCCN 227778
Ownership
Proprietary
Certified
Mar 27, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory
Tax ID family
Cross Cultural Carelink LLC2 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.

Locations

3 Courthouse Ln
Ste 10
Chelmsford, MA 01824
Phone (978) 252-4927

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anncarol Kieyah Individual 5% Or Greater Direct Ownership Interest Nov 18, 2022 45%
Corporate OfficerOwner/President Nov 18, 2022 45%
Corporate DirectorOwner/President Nov 18, 2022 45%
Operational/Managerial ControlOwner/President Nov 18, 2022 45%
Elizabeth Nolberto Individual 5% Or Greater Direct Ownership Interest Nov 18, 2022 45%
Corporate OfficerOwner/Vice President Nov 18, 2022 45%
Corporate DirectorOwner/Vice President Nov 18, 2022 45%
Operational/Managerial ControlOwner/Vice President Nov 18, 2022 45%
Esther Nganga Individual 5% Or Greater Direct Ownership Interest Nov 18, 2022 10%
Corporate OfficerOwner/Vice President Nov 18, 2022 10%
Corporate DirectorOwner/Vice President Nov 18, 2022 10%
Operational/Managerial ControlOwner/ Vice President Nov 18, 2022 10%

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": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1457060964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COURTHOUSE LN STE 10",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241721",
            "telephone_number": "978-954-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COURTHOUSE LN STE 10",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241721",
            "telephone_number": "978-954-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CULTURAL CARELINK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "KIEYAH",
        "authorized_official_first_name": "ANNCAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-954-8282"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.