Provider Demographics
NPI:1447897095
Name:CROSTON, CAROL A
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:CROSTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7444
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-0444
Mailing Address - Country:US
Mailing Address - Phone:330-313-4487
Mailing Address - Fax:
Practice Address - Street 1:163 SARATOGA AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-5767
Practice Address - Country:US
Practice Address - Phone:330-415-8375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-03
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide