Provider Demographics
NPI:1316404593
Name:CROSS GENERATIONAL HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:CROSS GENERATIONAL HOME HEALTH CARE LLC
Other - Org Name:HOME HELPERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-313-8567
Mailing Address - Street 1:233 SIDEWINDER LOOP
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-5452
Mailing Address - Country:US
Mailing Address - Phone:210-313-8567
Mailing Address - Fax:817-778-9162
Practice Address - Street 1:233 SIDEWINDER LOOP
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-5452
Practice Address - Country:US
Practice Address - Phone:210-313-8567
Practice Address - Fax:817-778-9162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health