CROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY, PSC (NPI# 1174040034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174040034 |
Entity Type | Organization |
Organization Name | CROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY, PSC |
Practice Address |
1974 Walton Nicholson Pike Independence KY 41051-7906 |
Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
Practice Telephone | 8593595404 |
Practice Fax Number | 8593590739 |
Mailing Telephone | 8645273145 |
Mailing Fax Number | 8649900653 |
Enumeration Date | 2017-08-23 |
Last Update Date | 2018-05-02 |
Authorized Official Name | DR. RUPERT MCCORMAC (PRESIDENT) |
Authorized Official Telephone | 8645273145 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
1974 WALTON NICHOLSON PIKE |
City | INDEPENDENCE |
State | KY |
Zip Code | 41051-7906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821059791 | Craig David Sanders | Family Medicine | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2006-03-30 |
1235738105 | Demetrius Thompson II | Counselor | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2020-10-22 |
1194322578 | Shawnee Williams | Counselor | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2020-10-08 |
1275145476 | Lisa Marie Strode | Counselor | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2020-08-19 |
1073124202 | Lezlee Delaney | Licensed Practical Nurse | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2020-08-12 |
1972138261 | Brookley Belle Lowe | Counselor | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2020-03-06 |
1609416676 | Shantel Latoria Carswell | Licensed Practical Nurse | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2020-01-08 |
1891332243 | Angela Danielle Branham | Licensed Practical Nurse | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2019-12-04 |
1083265466 | Diane Marie Lottman | Counselor | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2019-09-26 |
1821657164 | Katelyn Gurren | Licensed Practical Nurse | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2019-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
1942844972 | Shelby Cuellar | Chiropractor | 2051 Centennial Boulevard, Independence, KY 41051 | 2019-11-02 |
1811246242 | Independence Chiropractic, Inc. | Chiropractor | 1922 Walton Nichoolson Road, Independence, KY 41051 | 2012-08-30 |
1356627269 | Nina Carmen Brock | Home Health | 593 Berlander Dr, Independence, KY 41051 | 2011-10-25 |
1508000951 | Independence Urgent Care LLC | Clinic/Center | 2025 Declaration Drive, Independence, KY 41051 | 2009-04-29 |
1710009436 | Ashley Joseph Moser | Dentist | 2047 Centennial Blvd, Independence, KY 41051 | 2007-04-04 |
1558497388 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 10110 Toebben Drive, Enterprise V Park, Independence, KY 41051 | 2007-02-26 |
1982758736 | Janice Ann Struckhoff | Dentist | 1986 Walton Nicholson Pike, Independence, KY 41051 | 2007-01-22 |
1265509061 | Regency Manor LLC | Assisted Living Facility | 11725 Madison Pike, Independence, KY 41051 | 2006-11-29 |
1588629463 | John Franklin Allnutt | Family Medicine | 5290 Madison Pike, Ste 100, Independence, KY 41051 | 2006-04-20 |
Find all providers in zip 41051 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750737045 | Comprehensive Mental Health Services, Inc. | Clinic/Center | 17844 E 23rd St S, Independence, MO 64057-1840 | 2016-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
1053934836 | Roaring Brook LLC | Clinic/Center | 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 | 2020-05-27 |
1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1194295089 | Freedom Bridge To Recovery LLC | Clinic/Center | 1307 Magnolia St, Bowling Green, KY 42104-3050 | 2018-12-04 |
1619450186 | Pax House Inc. | Clinic/Center | 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875 | 2018-09-11 |
1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
1710426960 | The Liberty Ranch Rehabilitation Center | Clinic/Center | 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 | 2017-02-21 |
Find all providers with the same taxonomy |
City | INDEPENDENCE |
Zip Code | 41051 |
Please comment or provide details below to improve the information on CROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY, PSC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.