Provider Demographics
NPI:1699658344
Name:CROSSROADS HOME CARE, LLC
Entity type:Organization
Organization Name:CROSSROADS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAYTH
Authorized Official - Middle Name:
Authorized Official - Last Name:JABBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-277-9863
Mailing Address - Street 1:5544 HALIFAX CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7571
Mailing Address - Country:US
Mailing Address - Phone:619-277-9863
Mailing Address - Fax:
Practice Address - Street 1:5544 HALIFAX CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7571
Practice Address - Country:US
Practice Address - Phone:619-277-9863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CROSSROADS HOME CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care