Crossroads Retirement Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROSSROADS RETIREMENT HOME

Doing business as

The Crossroads

Practice address

206 W Orange St
Davenport, FL 33837-3118

Phone

(863) 422-4961

Fax

(863) 422-1707

NPI assigned

Apr 29, 2010

Last updated

Nov 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marline Cepoudi

Title

Director

Phone

(954) 367-4597

Specialties & licenses 1

Addresses

Other names 1

• The Crossroads Doing business as

Locations

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1265759310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-367-4597",
            "fax_number": "954-367-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W ORANGE ST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373118",
            "telephone_number": "863-422-4961",
            "fax_number": "863-422-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "CEPOUDI",
        "authorized_official_first_name": "MARLINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-367-4597",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Dewayne Cox Jr.
• Martha Esther Cox
• Matthew Cranston, DPT
• Crecemos Therapy Services, LLC
• Credence Homes LLC
• Crown Senior Services, LLC
• Lumetzie Cruz Cotto
• Anamary Cruz, MSW
• Heidyleen Cruz, D.C.
• Karla Michelle Cruz, PA

• Skilled Nursing Facility in Davenport, FL
• Providers in Davenport, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.