NPIMap

Organization Active NPI

Crossroads Louisiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • New Orleans, LA
National Provider Identifier
1508986977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1718289 Issued in LA
Legal business name
CROSSROADS LOUISIANA, INC.
Practice address
1622 Toledano St
New Orleans, LA 70115-4526
Phone
(504) 366-1828
Fax
(504) 366-1867
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beverly Duncan
Title
Executive Director
Phone
(504) 366-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1718289 LA Primary

Addresses

Primary practice location

1622 Toledano St
New Orleans, LA 70115-4526

Mailing address

625 Olivier St
New Orleans, LA 70114-1046
Phone (504) 366-1828

Other identifiers 1

IdentifierTypeStateIssuer
1718289MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Louisiana in8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508986977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 OLIVIER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701141046",
            "telephone_number": "504-366-1828",
            "fax_number": "504-366-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 TOLEDANO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154526",
            "telephone_number": "504-366-1828",
            "fax_number": "504-366-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-366-1828"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "1718289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718289",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.