Active NPI
Crossway Homecare LLC
- Home Health Agency
- North Andover, MA
National Provider Identifier
1730556556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CROSSWAY HOMECARE LLC
- Practice address
- 30 Ma Ave
Suite 306 B
North Andover, MA 01845-3458 - Phone
- (978) 390-0958
- NPI assigned
- Aug 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Njoroge
- Title
- Treasurer
- Phone
- (978) 390-0958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
30 Ma Ave
Suite 306 B
North Andover, MA 01845-3458
Mailing address
30 Ma Ave
Suite 306 B
North Andover, MA 01845-3458
Phone (978) 390-0958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150929002746 | MA | Part A Provider - Home Health Agency | 4880902568 | Practice locations: North Andover, MA |
Home health agency certification: CCN 227648
- Legal name
- CROSSWAY HOMECARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 18, 2016
- Last certification
- May 18, 2016
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Aug 27, 2015 in MA
- Enrollment address
- 30 Massachusetts Ave
Ste 405
North Andover, MA 01845-3458
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Crossway Homecare LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 18, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
30 Massachusetts Ave
Ste 405
North Andover, MA 01845
Phone (978) 390-0958
30 Massachusetts Ave
Ste 306
North Andover, MA 01845
Phone (978) 390-0958
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.
| Name | Role | Since | Share |
|---|---|---|---|
| John Njoroge | 5% Or Greater Direct Ownership Interest | Aug 27, 2015 | 25% |
| Corporate Officer | Aug 27, 2015 | 25% | |
| Corporate Director | Aug 27, 2015 | 25% | |
| W-2 Managing Employee | Aug 27, 2015 | 25% | |
| Simon Gitau | 5% Or Greater Direct Ownership Interest | Aug 27, 2015 | 25% |
| Corporate Officer | Aug 27, 2015 | 25% | |
| Corporate Director | Aug 27, 2015 | 25% | |
| W-2 Managing Employee | Aug 27, 2015 | 25% | |
| Shannon Njoroge | 5% Or Greater Direct Ownership Interest | Aug 27, 2015 | 25% |
| Corporate Officer | Aug 27, 2015 | 25% | |
| Corporate Director | Aug 27, 2015 | 25% | |
| W-2 Managing Employee | Aug 27, 2015 | 25% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440633600000",
"number": "1730556556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MA AVE",
"address_2": "SUITE 306 B",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018453458",
"telephone_number": "978-390-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MA AVE",
"address_2": "SUITE 306 B",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018453458",
"telephone_number": "978-390-0958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSWAY HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A",
"authorized_official_last_name": "NJOROGE",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "978-390-0958"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.