# CROSSROADS HOME CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mederi Caretenders
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437138070
- **Authorized official:** MR. JOSHUA L PROFFITT (PRESIDENT)
- **Authorized official phone:** (373) 233-1307

## Contact information

- **Practice address:** 4112 N WATER TOWER PL STE A, MOUNT VERNON, IL 62864-6295
- **Practice address phone:** (618) 988-1840
- **Practice address fax:** (618) 988-8623
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1008390 | IL | — |
| 251E00000X | Home Health Agency | 1011103 | MO | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 07/08/2024