Provider Demographics
NPI:1851035737
Name:CROSSWAY HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:CROSSWAY HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAVIOLA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-621-8458
Mailing Address - Street 1:6852 VILLA DE JARDIN
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-6783
Mailing Address - Country:US
Mailing Address - Phone:956-518-7880
Mailing Address - Fax:
Practice Address - Street 1:6852 VILLA DE JARDIN
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-6783
Practice Address - Country:US
Practice Address - Phone:956-518-7880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health