Crosstown Family Care Home, Inc

LBN: Crosstown Family Care Home, Inc
Crosstown Family Care Home, Inc is an health care organization with primary practice located at 1850 Sw Mackenzie St , Port St Lucie FL 34953-1329. The organization recently has 6 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Transportation Services / Private Vehicle. Nursing & Custodial Care Facilities / Custodial Care Facility is the primary health care specialty. Crosstown Family Care Home, Inc can be contacted via phone (954) 667-5616, or through Johnson, Nellie via phone (954) 667-5616.

Contact Information

Primary practice address
1850 Sw Mackenzie St Port St Lucie FL 34953-1329
Phone: (954) 667-5616
Fax: (772) 333-2894
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Nellie
Phone: (954) 667-5616

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1851848436
LBN Legal business name Crosstown Family Care Home, Inc
DBA Doing business as
Authorized official Johnson, Nellie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 25th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851848436 NPPES
Florida MEDICAID 678513

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