Cross Town Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CROSS TOWN HOME CARE LLC

Practice address

35748 Bibbins St
Romulus, MI 48174-1427

Phone

(248) 342-9207

NPI assigned

Dec 28, 2021

Last updated

Aug 29, 2023By 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

Bruce McCollum

Title

Senior Advisor

Phone

(734) 837-1048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1699435917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35748 BIBBINS ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741427",
            "telephone_number": "248-342-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35748 BIBBINS ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741427",
            "telephone_number": "248-342-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TOWN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "SENIOR ADVISOR",
        "authorized_official_telephone_number": "734-837-1048"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.