Crossroads: Solutions for Life LLC
Organization Active NPI Community/Behavioral Health Agency · Shoreview, MN
NPI 1376255240 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1376255240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CROSSROADS: SOLUTIONS FOR LIFE LLC
- Practice address
- 1030 County Road E W Ste 220
Shoreview, MN 55126-8153 - Phone
- (651) 249-1750
- NPI assigned
- Dec 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Leanne Mairs, MSW, LICSW
- Title
- Owner
- Phone
- (651) 249-1750
Practitioners 1
-
Leanne Mairs, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240509002918 | MN | Part B Supplier - Clinic/Group Practice | 1456792399 |
Receives reassigned benefits from 1 practitioner Practice locations: Shoreview, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1030 County Road E W Ste 220
Shoreview, MN 55126-8153
Mailing address
PO Box 270696
Vadnais Heights, MN 55127-0696
Phone (651) 249-1750
Other providers in Shoreview, MN
- Complex Cares LLC
- Sheila Conlin
- Miriam Whitney Cornell
- Create Space Meditate, LLC
- Critical Care Services, Inc
- Caitlin Marie Dado
- Sydney Christine Daley
- Temitope Abiola Dawodu
- Taylor Degen
- Debbie Lynn Deloye
All providers in Shoreview, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.