Provider Demographics
NPI:1427850122
Name:CROSS CARE HOME SERVICES
Entity type:Organization
Organization Name:CROSS CARE HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORTHIA
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:WHITING
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:989-948-3385
Mailing Address - Street 1:2204 LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-3403
Mailing Address - Country:US
Mailing Address - Phone:989-948-3385
Mailing Address - Fax:
Practice Address - Street 1:2204 LOWELL AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-3403
Practice Address - Country:US
Practice Address - Phone:989-948-3385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care