CROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY, PSC


Address: 1974 Walton Nicholson Pike, Independence, KY 41051-7906
Phone: 8593595404

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1974 WALTON NICHOLSON PIKE
City INDEPENDENCE
State KY
Zip Code 41051-7906

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City INDEPENDENCE
Zip Code 41051

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Dataset Information

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.

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