NPIMap

Organization Active NPI

Crossroad House

  • Case Management Agency
  • Cabot, AR
National Provider Identifier
1568650273
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CROSSROAD HOUSE
Practice address
88 Cypress Creek Dr
Cabot, AR 72023-8196
Phone
(501) 941-1310
Fax
(501) 941-1310
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Ms. Ophelia Mosley
Title
Sole Owner
Phone
(501) 941-1310

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AR Primary
Developmentally Disabled Services Day Training Agency 251C00000X AR
Nursing Care Agency 251J00000X AR
Point of Service 305S00000X AR

Addresses

Primary practice location

88 Cypress Creek Dr
Cabot, AR 72023-8196

Mailing address

88 Cypress Creek Dr
Cabot, AR 72023-8196
Phone (501) 941-1310

National Provider Directory

National Provider Directory
Tax ID family
Crossroad House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1568650273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CYPRESS CREEK DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238196",
            "telephone_number": "501-941-1310",
            "fax_number": "501-941-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CYPRESS CREEK DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238196",
            "telephone_number": "501-941-1310",
            "fax_number": "501-941-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROAD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "501-941-1310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.