Provider Demographics
NPI:1194483115
Name:CRS HOME CARE INC.
Entity type:Organization
Organization Name:CRS HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF CONTRACT PROCUREMENT
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-588-7873
Mailing Address - Street 1:1073 W BROAD ST UNIT 212B
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4600
Mailing Address - Country:US
Mailing Address - Phone:703-349-0960
Mailing Address - Fax:
Practice Address - Street 1:1073 W BROAD ST UNIT 212B
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4600
Practice Address - Country:US
Practice Address - Phone:703-349-0960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-222607OtherHOME CARE STATE LICENSE