Crossroads Evangelism, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116447 Issued in TX

Legal business name

CROSSROADS EVANGELISM, INC.

Practice address

5000 E Lancaster Ave
Fort Worth, TX 76103-3834

Phone

(817) 535-3447

Fax

(817) 535-5471

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Larry Chapman

Title

Administrator

Phone

(817) 535-3447

Specialties & licenses 1

Addresses

Other names 1

• Watson Memorial Nursing Home Other name

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053359638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033834",
            "telephone_number": "817-535-3447",
            "fax_number": "817-535-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033834",
            "telephone_number": "817-535-3447",
            "fax_number": "817-535-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS EVANGELISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-535-3447"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Memorial Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry David Crossland
• Hallie Renae Crossnoe, RN
• Crossover Health Medical Group (Crossover @ DFW7)
• Crossover Health Medical Group (Crossover @ High Crest)
• Crossroads (Crossroads Treatment Center)
• Crossroads Physical Therapy Limited Partnership (Green Oaks PT - Ft. Worth)
• Crossroads Treatment Center of Fort Worth, PLLC
• Karen L Crotty, M.D.
• Kelly A Crouch, MSSW
• Crow Enterprises,LLC

• Skilled Nursing Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.