Crossroads Support Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC 1678 Issued in NC

Legal business name

CROSSROADS SUPPORT SERVICES, INC

Practice address

1316 Wayne Memorial Drive
Suite C
Goldsboro, NC 27534-2253

Phone

(919) 736-9242

Fax

(919) 736-9299

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Johnson

Title

President

Phone

(919) 736-9242

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1205938412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275330251",
            "telephone_number": "919-736-9242",
            "fax_number": "919-736-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 WAYNE MEMORIAL DRIVE",
            "address_2": "SUITE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342253",
            "telephone_number": "919-736-9242",
            "fax_number": "919-736-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-736-9242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 1678",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC 1678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300562",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600650",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408924",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211500",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon G. Crenshaw, PHYSICIAN EXTENDER
• Kristen Shayanne Crook, CPNP-PC
• Rebecca Auston Croom, PA
• Susan Sutton Croom, FNP-C
• Anne Cross, MD
• James L. Crowgey Jr., MD
• Crown of Shalom Hair Artistry
• Sarah Kathryn Crump, DMD
• Kristi Crumpler, CBRS/ITFS
• Kali Cruse, CRNA

• All providers in Goldsboro, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.