Provider Demographics
NPI:1356415251
Name:HOLY CROSS HOSPITAL INC.
Entity type:Organization
Organization Name:HOLY CROSS HOSPITAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CASALOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-712-3792
Mailing Address - Street 1:6451 N FEDERAL HWY
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1402
Mailing Address - Country:US
Mailing Address - Phone:954-267-7040
Mailing Address - Fax:954-489-9306
Practice Address - Street 1:6451 N FEDERAL HWY
Practice Address - Street 2:SUITE 116
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1402
Practice Address - Country:US
Practice Address - Phone:954-267-7040
Practice Address - Fax:954-489-9306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010018804Medicaid