Crossroads Agency LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

CROSSROADS AGENCY LLC

Practice address

3003 S Alpine Meadows Dr
West Valley, UT 84120-1634

Phone

(801) 928-4814

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Eseta Tukuafu

Title

Owner

Phone

(801) 928-4814

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1144924309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 S ALPINE MEADOWS DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841201634",
            "telephone_number": "801-928-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S ALPINE MEADOWS DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841201634",
            "telephone_number": "801-928-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "TUKUAFU",
        "authorized_official_first_name": "ESETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-928-4814"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "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 Mar 29, 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.