Crossroads Treatment Center of Louisville, PSC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CROSSROADS TREATMENT CENTER OF LOUISVILLE, PSC

Practice address

1700 Cargo CT
Jeffersontown, KY 40299-1938

Phone

(502) 215-3938

NPI assigned

Aug 24, 2026

Last updated

Aug 26, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CROSSROADS TREATMENT CENTER OF LOUISVILLE, PSCAs reported in NPPES

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

Authorized official

Name

Rupert McCormac IV

Title

Ceo

Phone

(443) 280-7071

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Treatment Centers Louisville Lab Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crossroads Treatment Center Middletown3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Crossroads Treatment Center of Louisville, PSC

  dba Crossroads Treatment Center of Louisville

  • Methadone Clinic
  • Jeffersontown, KY
  • NPI 1649797507
  NPD tax ID
• Starting Point of Kentucky, PSC

  dba Crossroads Treatment Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1700379773
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Crossroads Treatment Center of Louisville, PSC

  dba Crossroads Treatment Center of Louisville

  • Methadone Clinic
  • Jeffersontown, KY
  • NPI 1649797507
  NPPES parent name

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1376459800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749057",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CARGO CT",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402991938",
            "telephone_number": "502-215-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTER OF LOUISVILLE, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS TREATMENT CENTER OF LOUISVILLE, PSC",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "MCCORMAC",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-280-7071",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Treatment Centers Louisville Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• After Hour Care of Kentuckiana, Inc. (Extra Hour Care)
• Matthew Robert Andrews, DOCTOR OF PHARMACY
• Austin Blakeman
• Alvin Edwin Cagle, APPRENTICE-HIS
• Crossroads Treatment Center of Louisville, PSC (Crossroads Treatment Center of Louisville)
• D&R Pharmaceutical Services, L.L.C. (Med Care Pharmacy #48530)
• Drosera Inc Hume Pharmacy
• Joseph Edelen, PT, DPT
• Callie Ernspiker

• Clinical Medical Laboratory in Jeffersontown, KY
• Providers in Jeffersontown, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.