Crossroads Adult Day Care

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CROSSROADS ADULT DAY CARE

Practice address

519 S Church St
Brookhaven, MS 39601-3807

Phone

(601) 320-2520

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Ball

Title

President

Phone

(601) 320-2520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1467842641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3561",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396037561",
            "telephone_number": "601-320-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S CHURCH ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013807",
            "telephone_number": "601-320-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-320-2520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Q Cook, CNP
• Kelly L Covington, M.S., CCC-SLP
• Anne Houston Craig, LCSW
• Cole Shane Craighead, MD
• James E Crane Jr.
• George Crouse, FNP-BC
• Timothy Charles Cunningham, PT
• Bruce Currie, PT
• Melissa J Davis, FNP-C
• Natalie Davis

• Nursing Facility/Intermediate Care Facility in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Nursing Facility/Intermediate Care Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.