NPIMap

Organization Active NPI

Crossroads Hospice of Cincinnati

Doing business as Crossroads Hospice of Cincinnati, LLC

  • Community Based Hospice Care Agency
  • Cincinnati, OH
National Provider Identifier
1285673111
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0136HSP Issued in OH
Legal business name
CROSSROADS HOSPICE OF CINCINNATI
Doing business as
Crossroads Hospice of Cincinnati, LLC
Practice address
4380 Glendale Milford Rd
Cincinnati, OH 45242-3706
Phone
(513) 793-5070
Fax
(513) 793-5110
NPI assigned
Jun 6, 2006
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CARREFOUR ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Mr. Clayton Lee Farmer
Title
Cfo/Coo
Phone
(918) 627-6846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Community Based Hospice Care Agency 251G00000X 0136HSP OH Primary

Addresses

Primary practice location

4380 Glendale Milford Rd
Cincinnati, OH 45242-3706

Mailing address

10810 E 45TH St
Suite 300
Tulsa, OK 74146-3818
Phone (918) 627-6846

Other names 2

  • Crossroads Hospice of Cincinnati, LLC Doing business as
  • Crossroads Hospice and Palliative Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030429000016 OH Part A Provider - Hospice 9133039936 Practice locations: Cincinnati, OH
O20140207001127 OH Part B Supplier - Clinic/Group Practice 9133039936 Receives reassigned benefits from 9 practitioners
Practice locations: Blue Ash, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285673111. Details of each certification follow.

Hospice certification: CCN 361614

Legal name
CROSSROADS HOSPICE OF CINCINNATI
Doing business as
CROSSROADS HOSPICE OF CINCINNATI, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 21, 2003
Last certification
Sep 30, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
4380 Gelndale Milford Rd
Cincinnati, OH 45242-3706

Care Compare: Hospice

Medicare Care Compare
Listed as
Crossroads Hospice of Cincinnati, LLCCCN 361614 · All quality measures
Ownership
For-Profit
Certified
Aug 21, 2003
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Hospice and Palliative Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4380 Glendale Milford Rd
Blue Ash, OH 45242
Phone (513) 793-5070

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Perry&Jessica Farmer Investments FLP Organization, Tulsa, OK 5% Or Greater Direct Ownership Interest Jan 1, 2006 19%
George Farmer Rvoc TR Organization, Muskogee, OK 5% Or Greater Direct Ownership Interest Nov 10, 2022
George Perry Farmer Individual 5% Or Greater Direct Ownership Interest Nov 27, 2002
General Partnership Interest Nov 27, 2002
Corporate Director Apr 29, 2003
Deanna Looper Individual W-2 Managing Employee Jan 1, 2003
Carrefour Associates, LLC Organization, Tulsa, OK LLC Operational/Managerial Control Dec 1, 2002
Jamie Tower Individual 5% Or Greater Direct Ownership Interest Nov 27, 2002
General Partnership Interest Nov 27, 2002
Clayton Lee Farmer Individual 5% Or Greater Direct Ownership Interest Nov 27, 2002
General Partnership Interest Nov 27, 2002
Corporate Director Apr 29, 2003
Read & Melissa Pearson Family Trust Organization, Mount Pleasant, TX 5% Or Greater Direct Ownership Interest Jan 1, 2022 5%
Sherrie Whitson Individual W-2 Managing EmployeeClinical Director Nov 1, 2022
Debra Whitesell Individual W-2 Managing EmployeeExecutive Director Sep 3, 2024
Laura Buxton Individual W-2 Managing EmployeeHome Office Manager Jan 1, 2006
Raymond Freeman Individual 5% Or Greater Direct Ownership Interest Nov 27, 2002
General Partnership Interest Nov 27, 2002
Corporate Director Apr 29, 2003
Car Holdings LLC Organization, Tulsa, OK LLC 5% Or Greater Direct Ownership Interest Jan 1, 2006 19%

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Crossroads Hospice of Cleveland LLC
    • Community Based Hospice Care Agency
    • Cleveland, OH
    • NPI 1730329681

    Car Holdings LLC, Carrefour Associates, LLC, George Farmer Rvoc TR, Perry&Jessica Farmer Investments FLP, Read & Melissa Pearson Family Trust

    CMS ownership
  • Crossroads Hospice of Dayton LLC
    • Community Based Hospice Care Agency
    • Dayton, OH
    • NPI 1679741128

    Car Holdings LLC, Carrefour Associates, LLC, George Farmer Rvoc TR, Perry&Jessica Farmer Investments FLP, Read & Melissa Pearson Family Trust

    CMS ownership
  • Crossroads Hospice of Northeast

    dba Crossroads Hospice of Northeast Ohio, LLC

    • Community Based Hospice Care Agency
    • Uniontown, OH
    • NPI 1205876653

    Car Holdings LLC, Carrefour Associates, LLC, George Farmer Rvoc TR, Perry&Jessica Farmer Investments FLP, Read & Melissa Pearson Family Trust

    CMS ownership
  • Crossroads Hospice of Philadelphia

    dba Crossroads Hospice of Philadelphia, LLC

    • Community Based Hospice Care Agency
    • Plymouth Meeting, PA
    • NPI 1578662235

    Car Holdings LLC, George Farmer Rvoc TR, Perry&Jessica Farmer Investments FLP, Read & Melissa Pearson Family Trust

    CMS ownership
  • Crossroads Hospice of Tennessee, LLC
    • Community Based Hospice Care Agency
    • Memphis, TN
    • NPI 1316982739

    Car Holdings LLC, Carrefour Associates, LLC, George Farmer Rvoc TR, Perry&Jessica Farmer Investments FLP

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1285673111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST",
            "address_2": "SUITE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463818",
            "telephone_number": "918-627-6846",
            "fax_number": "918-627-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 GLENDALE MILFORD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423706",
            "telephone_number": "513-793-5070",
            "fax_number": "513-793-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOSPICE OF CINCINNATI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARREFOUR ASSOCIATES, LLC",
        "enumeration_date": "2006-06-06",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "OH",
            "license": "0136HSP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Hospice of Cincinnati, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Hospice and Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.