Crossroads Human Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CROSSROADS HUMAN SERVICES, INC

Practice address

102 W Martin Luther King Jr Dr
Washington, NC 27889-4906

Phone

(252) 940-0418

Fax

(252) 940-0421

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Adrian Vaughn Fisher

Title

Ceo

Phone

(252) 940-0418

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1518267350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278890545",
            "telephone_number": "252-940-0418",
            "fax_number": "252-940-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-940-0418",
            "fax_number": "252-940-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HUMAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-940-0418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Ange Cox, FNP-C
• Chell'Le Craig
• Christy Craig
• Michael Brett Crawford, MD
• Cross Therapeutics Inc.
• Michael David Crumpler, PA
• Janet R Cutler, FNP
• William Paul Daly, DC
• Makeisha Dance, PHARMD
• Zoe Davenport, LCMHCA

• In Home Supportive Care Agency in Washington, NC
• Providers in Washington, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.