FHS Crossroads, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FHS CROSSROADS, INC.

Practice address

208 N Cassel Rd
Vandalia, OH 45377-2926

Phone

(937) 898-4202

Fax

(937) 898-8699

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Daniel Parker

Title

President

Phone

(330) 554-6619

Specialties & licenses 1

Addresses

Other names 1

• CROSSROADS REHABILITATION & NURSING Doing business as

Locations

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1376012484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 COUNTRY CLUB BLVD STE 255",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705337",
            "telephone_number": "440-614-0160",
            "fax_number": "440-614-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N CASSEL RD",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772926",
            "telephone_number": "937-898-4202",
            "fax_number": "937-898-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHS CROSSROADS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-554-6619"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSSROADS REHABILITATION & NURSING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.