NPIMap

Organization Active NPI

Crosspeaks Services, Inc.

Doing business as Ridgeline Pediatric Day Health and Respite Services

  • Pediatric Skilled Nursing Facility
  • Auburn, CA
National Provider Identifier
1477208684
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
CROSSPEAKS SERVICES, INC.
Doing business as
Ridgeline Pediatric Day Health and Respite Services
Practice address
1121 Maidu Dr
Auburn, CA 95603-5808
Phone
(530) 477-3378
Fax
(530) 477-7068
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Michael Blair Lyman, MS
Title
President/Ceo/Administrator
Phone
(435) 881-6338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

1121 Maidu Dr
Auburn, CA 95603-5808

Mailing address

1121 Maidu Dr
Auburn, CA 95603-5808
Phone (530) 477-3378

Other names 1

  • Ridgeline Pediatric Day Health and Respite Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crosspeaks Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1477208684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 MAIDU DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035808",
            "telephone_number": "530-477-3378",
            "fax_number": "530-477-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 MAIDU DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035808",
            "telephone_number": "530-477-3378",
            "fax_number": "530-477-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSPEAKS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "PRESIDENT/CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "435-881-6338",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeline Pediatric Day Health and Respite Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.