Provider Demographics
NPI:1053783233
Name:CARING CROSSROADS HOME CARE
Entity type:Organization
Organization Name:CARING CROSSROADS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CEDRIC
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-505-6134
Mailing Address - Street 1:2138 CLIFFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-8212
Mailing Address - Country:US
Mailing Address - Phone:563-505-6134
Mailing Address - Fax:563-332-6903
Practice Address - Street 1:2138 CLIFFSIDE DR
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-8212
Practice Address - Country:US
Practice Address - Phone:563-505-6134
Practice Address - Fax:563-332-6903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care