Crossroads at Beaver Creek

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2485R Issued in OH

Legal business name

CROSSROADS AT BEAVER CREEK

Practice address

13280 Echo Dell Rd
East Liverpool, OH 43920-9724

Phone

(330) 385-1616

Fax

(330) 385-8877

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Vicki Holden

Title

Executive Director

Phone

(330) 385-2211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1013186147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 ECHO DELL RD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209724",
            "telephone_number": "330-385-1616",
            "fax_number": "330-385-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 ECHO DELL RD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209724",
            "telephone_number": "330-385-1616",
            "fax_number": "330-385-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS AT BEAVER CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-385-2211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2485R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.