NPIMap

Organization Active NPI

Crossroads Recovery Center of Louisiana

  • Clinical Medical Laboratory
  • Baton Rouge, LA
National Provider Identifier
1356072318
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CROSSROADS RECOVERY CENTER OF LOUISIANA
Practice address
4626 Sherwood Common Blvd Ste 402
Baton Rouge, LA 70816-5029
Phone
(225) 239-7088
Fax
(225) 239-7089
NPI assigned
Jun 21, 2022
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Chris Haik, NPNPI 1629003793
Title
Managing Partner
Phone
(225) 390-1238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4626 Sherwood Common Blvd Ste 402
Baton Rouge, LA 70816-5029

Mailing address

4626 Sherwood Common Blvd Ste 402
Baton Rouge, LA 70816-5029
Phone (225) 239-7088

Other practice location 1

826 W Highway 30 Ste B
Gonzales, LA 70737-4852
Phone (225) 390-1238

National Provider Directory

National Provider Directory

Locations

4626 Sherwood Common Blvd
Ste 401
Baton Rouge, LA 70816

4626 Sherwood Common Blvd
Ste 402
Baton Rouge, LA 70816
Phone (225) 239-7088

826 W Highway 30
Ste B
Gonzales, LA 70737
Phone (225) 390-1238

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1356072318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 SHERWOOD COMMON BLVD STE 402",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165029",
            "telephone_number": "225-239-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 SHERWOOD COMMON BLVD STE 402",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165029",
            "telephone_number": "225-239-7088",
            "fax_number": "225-239-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 W Highway 30 Ste B",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707374852",
            "country_code": "US",
            "telephone_number": "225-390-1238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS RECOVERY CENTER OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "HAIK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "225-390-1238",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.