Provider Demographics
NPI:1407145006
Name:CROSSAID HEALTHCARE LLC
Entity Type:Organization
Organization Name:CROSSAID HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLABODE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:OGUNLEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-415-8553
Mailing Address - Street 1:8011 CAMERON RD
Mailing Address - Street 2:SUITE B-200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-3811
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8011 CAMERON RD
Practice Address - Street 2:SUITE B-200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3811
Practice Address - Country:US
Practice Address - Phone:512-415-8553
Practice Address - Fax:512-215-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health