Organization Active NPI

Crossroads Caring Mission Inc

  • Case Management Agency
  • Merced, CA
National Provider Identifier
1265362396
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CROSSROADS CARING MISSION INC
Practice address
235 W Main St
Merced, CA 95340-4932
Phone
(408) 854-2004
NPI assigned
May 20, 2026
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Ms. Khit Phommavanh
Title
Founder / Executive Director
Phone
(408) 854-2004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

235 W Main St
Merced, CA 95340-4932

Mailing address

1635 Lacava Rd
Merced, CA 95348-9202
Phone (408) 854-2004

National Provider Directory

National Provider Directory

Locations

235 W Main St
Merced, CA 95340
Phone (408) 854-2004

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1265362396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 LACAVA RD",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953489202",
            "telephone_number": "408-854-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404932",
            "telephone_number": "408-854-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CARING MISSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "PHOMMAVANH",
        "authorized_official_first_name": "KHIT",
        "authorized_official_title_or_position": "FOUNDER / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-854-2004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.