Crossroads Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CROSSROADS ASSISTED LIVING LLC

Practice address

435 Golden Pond Dr
Cedar Hill, TX 75104-6724

Phone

(817) 980-4252

NPI assigned

Jan 13, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Christie Wyatt

Title

Manager

Phone

(817) 980-4252

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1477975274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 GOLDEN POND DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 GOLDEN POND DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046724",
            "telephone_number": "817-980-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-980-4252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "801894873",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conquered Home Care LLC
• Elizabeth Cooper
• Jack Medford Cooper, MD
• Deborah Joan Crocetti, LMFT
• Omonmen O Crossley, M.D.
• Hayley T. Cruz, P.T.
• Kimberly Curvey, LCSW
• CVS Pharmacy Inc
• CVS Pharmacy Inc.
• CVT Enterprise, LLC

• Assisted Living Facility in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.