CROSSROADS, INC. (NPI# 1649818501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649818501 |
| Entity Type | Organization |
| Organization Name | CROSSROADS, INC. |
| Practice Address |
2002 E Osborn Rd Ste A Phoenix AZ 85016-7236 |
| Practice Telephone | 6022635242 |
| Practice Fax Number | 6025954434 |
| Mailing Telephone | 6022635242 |
| Mailing Fax Number | 6025954434 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | CHRIS RILEY (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6022635242 |
| Is Organization Subpart | Y |
| Parent Organization Name | CROSSROADS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crossroads 360 Community Care Clinic-Osborn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033579941 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 4201 N 16th St Ste 110, Phoenix, AZ 85016-5357 | 2016-03-04 |
| 1588980742 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 1632 E Flower St, Phoenix, AZ 85016-7115 | 2010-04-13 |
| 1669698676 | Crossroads, Inc. | Community/Behavioral Health | 44 East Ramsdell St., New Haven, CT 06515-1140 | 2007-04-18 |
| 1730743659 | Crossroads, Inc. | Counselor | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2019-04-25 |
| 1376107292 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 7523 N 35th Ave, Phoenix, AZ 85051-7422 | 2019-04-25 |
| 1659935575 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 5116 E Thomas Rd, Phoenix, AZ 85018-7915 | 2019-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CROSSROADS, INC. | 1424 Houser Street, Muscatine, IA 52761 |
| Washington State Corporations | CROSSROADS, INC. | 2230 7th Ave, Seattle, WA 98121-1902 |
| Massachusetts Corporations | CROSSROADS, INC. | 24 Stub Toe Ln., Sudbury, MA 01776 |
| Connecticut Business Registrations | CROSSROADS, INC. OF MANCHESTER | Raymond Juleson, 329 Hackmatack St, Manchester, CT 06040 |
| Street Address |
2002 E OSBORN RD STE A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1952945313 | Arizona Primary Care & Regenerative Medicine LLC | Clinic/Center | 1611 W Silver Pine Dr, Phoenix, AZ 85086-1930 | 2019-10-29 |
| 1336615053 | Terros Inc | Clinic/Center | 2445 W Indianola Ave, Phoenix, AZ 85015-5486 | 2018-10-19 |
| 1568937407 | Ebony House Inc | Clinic/Center | 1616 E Indian School Rd Ste 250, Phoenix, AZ 85016-8614 | 2018-10-08 |
| 1225529134 | Restor Medical & Wellness Pllc | Clinic/Center | 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 | 2018-05-25 |
| 1891208997 | Real Family Care, Pllc | Clinic/Center | 2601 N 3rd St Ste 301, Phoenix, AZ 85004-1101 | 2017-11-10 |
| 1912417577 | Jean K Marseille | Clinic/Center | 9111 N 7th St, Phoenix, AZ 85020-2515 | 2017-10-09 |
| 1982072096 | Leo J Ankenbrandt Md | Clinic/Center | 12801 N 16th Dr, Phoenix, AZ 85029-2802 | 2015-09-04 |
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
| 1245615780 | Terros, Inc | Clinic/Center | 4616 N 51st Ave Ste 108, Phoenix, AZ 85031-1720 | 2015-07-27 |
| Find all providers in PHOENIX | ||||
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| 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.