Organization Active NPI

Cross Resource & Consulting LLC

  • Case Manager/Care Coordinator
  • Indianapolis, IN
National Provider Identifier
1174087894
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CROSS RESOURCE & CONSULTING LLC
Practice address
4716 Round Lake Rd Apt H
Indianapolis, IN 46205-2386
Phone
(317) 496-4730
NPI assigned
Jan 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Authorized official

Name
Keta CrossNPI 1104365865
Title
Owner
Phone
(317) 762-7874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

4716 Round Lake Rd Apt H
Indianapolis, IN 46205-2386

Mailing address

5868 E 71St St, Suite E , #327
Indianapolis, IN 46220
Phone (317) 496-4730

Other identifiers 1

IdentifierTypeStateIssuer
1104365865MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548547200000",
    "number": "1174087894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 E 71ST ST, SUITE E , #327",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-496-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ROUND LAKE RD APT H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052386",
            "telephone_number": "317-496-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS RESOURCE & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "KETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-762-7874"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104365865",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.