Organization Active NPI

Crossroads Adult Daycare Center, Inc

  • Developmentally Disabled Services Day Training Agency
  • Greensboro, NC
National Provider Identifier
1184043770
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CROSSROADS ADULT DAYCARE CENTER, INC
Practice address
1011 Homeland Ave
Greensboro, NC 27405-7003
Phone
(336) 333-0059
Fax
(336) 273-0456
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Kim B Hayes
Title
Director
Phone
(336) 333-0059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1011 Homeland Ave
Greensboro, NC 27405-7003

Mailing address

1011 Homeland Ave
Greensboro, NC 27405-7003
Phone (336) 333-0059

National Provider Directory

National Provider Directory

Locations

1011 Homeland Ave
Greensboro, NC 27405
Phone (336) 333-0059

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1184043770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HOMELAND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057003",
            "telephone_number": "336-333-0059",
            "fax_number": "336-273-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HOMELAND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057003",
            "telephone_number": "336-333-0059",
            "fax_number": "336-273-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ADULT DAYCARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-333-0059"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.