Active NPI
Crossroads Hospice of Kansas LLC
- Community Based Hospice Care Agency
- Lenexa, KS
National Provider Identifier
1194025239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CROSSROADS HOSPICE OF KANSAS LLC
- Practice address
- 11150 Thompson Ave
Lenexa, KS 66219-2301 - Phone
- (913) 850-7500
- Fax
- (913) 850-7598
- NPI assigned
- Oct 22, 2010
- Organization subpart
- Yes
- Parent organization
- CARREFOUR ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clayton Lee Farmer
- Title
- Cfo/Coo
- Phone
- (918) 627-6846
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
11150 Thompson Ave
Lenexa, KS 66219-2301
Mailing address
10810 E 45TH St Ste 300
Tulsa, OK 74146-3816
Phone (918) 627-6846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20070540A | Medicaid | KS |
Other names 2
- Crossroads Hospice of Kansas, LLC
- Crossroads Hospice and Palliative Care
National Provider Directory
National Provider DirectoryLocations
11150 Thompson Ave
Lenexa, KS 66219
Phone (913) 850-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1194025239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 E 45TH ST STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741463816",
"telephone_number": "918-627-6846",
"fax_number": "918-627-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11150 THOMPSON AVE",
"city": "LENEXA",
"state": "KS",
"postal_code": "662192301",
"telephone_number": "913-850-7500",
"fax_number": "913-850-7598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS HOSPICE OF KANSAS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARREFOUR ASSOCIATES, LLC",
"enumeration_date": "2010-10-22",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A",
"authorized_official_last_name": "FARMER",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CFO/COO",
"authorized_official_telephone_number": "918-627-6846"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20070540A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crossroads Hospice of Kansas, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Crossroads Hospice of Kansas, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Crossroads Hospice and Palliative Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.