Provider Demographics
NPI:1639060403
Name:CROSS ATLANTIC CARE LLC
Entity type:Organization
Organization Name:CROSS ATLANTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGABA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,CRMA,MA
Authorized Official - Phone:442-222-9908
Mailing Address - Street 1:409 CUMBERLAND AVE UNIT 215
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-3696
Mailing Address - Country:US
Mailing Address - Phone:442-222-9908
Mailing Address - Fax:
Practice Address - Street 1:409 CUMBERLAND AVE UNIT 215
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3696
Practice Address - Country:US
Practice Address - Phone:442-222-9908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care