Organization Active NPI

Crossroads Recovery House

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1386265148
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSSROADS RECOVERY HOUSE
Practice address
10377 Goodwood Blvd
Baton Rouge, LA 70815-4526
Phone
(337) 255-8742
NPI assigned
May 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Mr. Rene Leblanc, CIT
Title
Director
Phone
(337) 255-8742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10377 Goodwood Blvd
Baton Rouge, LA 70815-4526

Mailing address

10377 Goodwood Blvd
Baton Rouge, LA 70815-4526
Phone (337) 255-8742

Other identifiers 1

IdentifierTypeStateIssuer
0000OtherNO ISSUER YET, WAITING ON NPI TO APPLY TO BE SERVICE PROVIDER FOR MEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rene@crossroadsbr.org

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1386265148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10377 GOODWOOD BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154526",
            "telephone_number": "337-255-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10377 GOODWOOD BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154526",
            "telephone_number": "337-255-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-255-8742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CIT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO ISSUER YET, WAITING ON NPI TO APPLY TO BE SERVICE PROVIDER FOR MEDICAID",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rene@crossroadsbr.org",
            "affiliation": "N",
            "address_1": "10377 Goodwood Blvd",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708154526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.