Provider Demographics
NPI:1962774299
Name:CROSS HOME HEALTH LLC
Entity type:Organization
Organization Name:CROSS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:R,N,
Authorized Official - Phone:956-324-3934
Mailing Address - Street 1:917 S ALAMO RD
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-9312
Mailing Address - Country:US
Mailing Address - Phone:956-325-3934
Mailing Address - Fax:956-783-6819
Practice Address - Street 1:917 S ALAMO RD
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-9312
Practice Address - Country:US
Practice Address - Phone:956-325-3934
Practice Address - Fax:956-783-6819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013712253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care