Crossroads at Mountain Meadows, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SR-0008165001-CCI Issued in SC

Legal business name

CROSSROADS AT MOUNTAIN MEADOWS, INC.

Practice address

9528 Old White Horse Rd
Greenville, SC 29617-6914

Phone

(864) 246-0266

Fax

(864) 246-0652

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Lorraine Turner

Title

Ceo

Phone

(864) 246-0266

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crossroads Group Home Doing business as

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366527335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14939",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296104939",
            "telephone_number": "864-246-0266",
            "fax_number": "864-246-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9528 OLD WHITE HORSE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296176914",
            "telephone_number": "864-246-0266",
            "fax_number": "864-246-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS AT MOUNTAIN MEADOWS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-246-0266"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "SR-0008165001-CCI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Walker Cross, M.D.
• Margaret Cross
• Margarita Anatolyevna Cross, NP
• Crossing Waters, LLC
• Samantha Crossley, M.A. CCC-SLP
• Crossroads Treatment Center of Greenville, PC
• Howland E Crosswell, M.D.
• Mary Ratchford Crosswell, M.D.
• Susan D Croteau, ANP-BC
• Brandon Joseph Crouch, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greenville, SC
• Providers in Greenville, SC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.