Organization Active NPI

Crossroads Home Care

  • Home Health Aide
  • New Brunswick, NJ
National Provider Identifier
1588290886
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CROSSROADS HOME CARE
Practice address
102 Paulus Blvd
New Brunswick, NJ 08901-1577
Phone
(732) 228-2419
NPI assigned
Mar 18, 2020
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Rayford Mark
Title
Administration
Phone
(732) 645-7925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

102 Paulus Blvd
New Brunswick, NJ 08901-1577

Mailing address

102 Paulus Blvd
New Brunswick, NJ 08901-1577
Phone (732) 228-2419

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1588290886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PAULUS BLVD",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011577",
            "telephone_number": "732-228-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PAULUS BLVD",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011577",
            "telephone_number": "732-228-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "RAYFORD",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "732-645-7925"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.