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CROSS CREEK CARE INC NPI 1144613142


NPI Information

NPI: 1144613142
Provider Name: CROSS CREEK CARE, INC

Other Name: CROSS CREEK COTTAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
138 E 18TH ST
COSTA MESA, CA
ZIP 92627
Phone: (949) 722-1014
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CROSS CREEK CARE, INC is an assisted living facility in Costa Mesa, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CROSS CREEK CARE, INC NPI is 1144613142. The provider is registered as an organization entity type.
The provider Other Name Is Cross Creek Cottage.

The provider's business location address is:

138 E 18TH ST
COSTA MESA, CA
ZIP 92627-035
Phone: (949) 722-1014
Fax: (949) 631-5205

The provider's authorized official is Winfred Wilson .
The authorized official title is Owner/administrator and has the following contact phone number (949) 722-1014.

The enumeration date for this NPI number is 3/15/2015 and was last updated on 3/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility306000888CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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