Provider Demographics
NPI:1861927576
Name:CROSS CULTURAL HOMECARE INC
Entity type:Organization
Organization Name:CROSS CULTURAL HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALIFIED PROFESSIONAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:BAO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-226-4433
Mailing Address - Street 1:1090 EARL ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-2705
Mailing Address - Country:US
Mailing Address - Phone:651-226-4433
Mailing Address - Fax:651-305-6334
Practice Address - Street 1:1090 EARL ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-2705
Practice Address - Country:US
Practice Address - Phone:651-226-4433
Practice Address - Fax:651-305-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health