NPIMap

Organization Active NPI

Crossroads la. Inc.

  • Assisted Living Facility
  • New Orleans, LA
National Provider Identifier
1366573115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10209 Issued in LA
Legal business name
CROSSROADS LA. INC.
Practice address
3719 General Degaulle Dr
New Orleans, LA 70114-8205
Phone
(504) 366-1828
Fax
(504) 366-1867
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beverly Duncan
Title
Executive Director
Phone
(504) 366-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10209 LA Primary

Addresses

Primary practice location

3719 General Degaulle Dr
New Orleans, LA 70114-8205

Mailing address

625 Olivier St
New Orleans, LA 70114-1046
Phone (504) 366-1828

Other identifiers 1

IdentifierTypeStateIssuer
1918571MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Louisiana in8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3719 General Degaulle Dr
New Orleans, LA 70114

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366573115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 OLIVIER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701141046",
            "telephone_number": "504-366-1828",
            "fax_number": "504-366-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 GENERAL DEGAULLE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148205",
            "telephone_number": "504-366-1828",
            "fax_number": "504-366-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS LA. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-366-1828"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "LA",
            "license": "10209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1918571",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • 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.