Provider Demographics
NPI:1346391190
Name:AAA GOLD CROSS MEDICAL SUPPLY & HOMECARE INC
Entity Type:Organization
Organization Name:AAA GOLD CROSS MEDICAL SUPPLY & HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LINDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-899-9300
Mailing Address - Street 1:727 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-2504
Mailing Address - Country:US
Mailing Address - Phone:732-899-9300
Mailing Address - Fax:732-899-2959
Practice Address - Street 1:727 ARNOLD AVE
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-2504
Practice Address - Country:US
Practice Address - Phone:732-899-9300
Practice Address - Fax:732-899-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1109090001Medicare ID - Type UnspecifiedSUPPLIER NUMBER CMS