Crossroads Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CROSSROADS CARE SERVICES LLC

Practice address

122 Mill St
Wartburg, TN 37887-4303

Phone

(423) 346-2200

Fax

(423) 346-5655

NPI assigned

Feb 21, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany WhiteNPI 1831472976

Title

Owner/President

Phone

(423) 346-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany White, LPN

  • Licensed Practical Nurse
  • Knoxville, TN
  • NPI 1831472976
  NPD Authorized official

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1114625969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MILL ST",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874303",
            "telephone_number": "423-346-2200",
            "fax_number": "423-346-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MILL ST",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874303",
            "telephone_number": "423-346-2200",
            "fax_number": "423-346-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "423-346-2200"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kelly Cardona, LPC-MHSP, PHD
• Gregory Allen Casalenuovo, PHD, FNP
• James D Chapman, DDS
• Kenneth R Clowers, P.T.
• Dayna Collins, PTA
• Amanda Ellen Crouch, PT, DPT
• Mansour Daoud, RPH
• Caitlyn Davis
• Laura Sue Delgado-Evensen, TN17240903007
• Mahogani Eaton, DDS

• In Home Supportive Care Agency in Wartburg, TN
• Providers in Wartburg, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.