| Organization Name: | CROSSROADS HOME CARE SERVICES, LLC |
| NPI Number: | 1225327356 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE HOLTSFORD (DIR. BUSSINESS OFFICE SUPPORT) |
| Mailing Address: | 1201 Weaver Rd Herrin |
| State: | IL US |
| Postal Code: | 629482621 |
| Phone Number: | 6189881840 |
| Fax Number: | 6189888623 |
| NPI Enumeration Date: | 03/29/2011 |
| NPI Last Update Date: | 10/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |