Organization Active NPI

Crossroads Healthcare Inc

  • Home Health Agency
  • Vancouver, WA
National Provider Identifier
1295965903
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
602915599000 Issued in WA
Legal business name
CROSSROADS HEALTHCARE INC
Practice address
1111 Main St
Suite 555
Vancouver, WA 98660-2990
Phone
(360) 433-9375
Fax
(360) 828-5316
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Mr. Arthur Price
Title
President, Owner
Phone
(360) 921-5817

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 602915599000 WA Primary
Home Infusion Agency 251F00000X 602915599000 WA
In Home Supportive Care Agency 253Z00000X 602915599000 WA

Addresses

Primary practice location

1111 Main St
Suite 555
Vancouver, WA 98660-2990

Mailing address

1111 Main St
Suite 555
Vancouver, WA 98660-2990
Phone (360) 433-9375

Other names 1

  • BrightStar of Vancouver Doing business as

National Provider Directory

National Provider Directory

Locations

1111 Main St
Ste 555
Vancouver, WA 98660
Phone (360) 433-9375

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1295965903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MAIN ST",
            "address_2": "SUITE 555",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602990",
            "telephone_number": "360-433-9375",
            "fax_number": "360-828-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MAIN ST",
            "address_2": "SUITE 555",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602990",
            "telephone_number": "360-433-9375",
            "fax_number": "360-828-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "360-921-5817",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "602915599000",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "WA",
            "license": "602915599000",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "602915599000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Vancouver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.