Organization Active NPI

Crossland Group Family Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1497910921
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CROSSLAND GROUP FAMILY SERVICES, INC.
Practice address
1209 Briardale Rd
Durham, NC 27712-9776
Phone
(919) 699-6979
NPI assigned
Jul 24, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Ms. Eugenia Kaye Crossland
Title
Operations Manager
Phone
(919) 699-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1209 Briardale Rd
Durham, NC 27712-9776

Mailing address

1209 Briardale Rd
Durham, NC 27712-9776
Phone (919) 699-6979

Other identifiers 1

IdentifierTypeStateIssuer
320900000XMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1497910921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 BRIARDALE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277129776",
            "telephone_number": "919-699-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 BRIARDALE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277129776",
            "telephone_number": "919-699-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLAND GROUP FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "CROSSLAND",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "919-699-6979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320900000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.