Crossroad at Northglenn, Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2304MZ Issued in CO

Legal business name

CROSSROAD AT NORTHGLENN, ALF

Practice address

451 Malley Dr
Northglenn, CO 80233-2024

Phone

(303) 252-1118

NPI assigned

Jan 15, 2016

Organization subpart

Yes

Parent organization

MANAGEMENT SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Bushnell

Title

V.P. of Finance

Phone

(916) 774-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1003273483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 RESERVE DR STE 240",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781391",
            "telephone_number": "916-774-7700",
            "fax_number": "916-774-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MALLEY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802332024",
            "telephone_number": "303-252-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROAD AT NORTHGLENN, ALF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANAGEMENT SERVICES",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "BUSHNELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "V.P. OF FINANCE",
        "authorized_official_telephone_number": "916-774-7700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "2304MZ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03585280",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Crawford
• Creative Reflections Therapy LLC
• Crest Medical Transit LLC
• Joseph Anthony Crispino
• Michael Andrew Critzman, COTA/L
• Timothy Wayne Croy, MS, CAC II
• Raul Eduardo Cubillas Manrique, M.D
• Suellen Cummings
• Alyssa Cure, OTD
• Elaine JCD D'Amato, LPC

• Assisted Living Facility in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.