Healthcare Provider Details

I. General information

NPI: 1497672372
Provider Name (Legal Business Name): CROSSROADS HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 E BELTLINE AVE SE STE 103
GRAND RAPIDS MI
49546-5870
US

IV. Provider business mailing address

2311 E BELTLINE AVE SE STE 103
GRAND RAPIDS MI
49546-5870
US

V. Phone/Fax

Practice location:
  • Phone: 616-228-1890
  • Fax:
Mailing address:
  • Phone: 616-228-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDI SMITH
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 616-228-1890