Provider Demographics
NPI:1396465688
Name:CROSSING CARE, LLC
Entity type:Organization
Organization Name:CROSSING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUPITER
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEURIMON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-574-9087
Mailing Address - Street 1:3141 S MILITARY TRL STE 108
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2133
Mailing Address - Country:US
Mailing Address - Phone:561-202-8896
Mailing Address - Fax:561-202-8897
Practice Address - Street 1:3141 S MILITARY TRL STE 108
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-2133
Practice Address - Country:US
Practice Address - Phone:561-202-8896
Practice Address - Fax:561-202-8897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL116289600Medicaid
FL299996015OtherHHA LICENSE
FL238960OtherHOMEMAKER & COMPANIONS CARE
FL121535400Medicaid