Crossroads Church

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CROSSROADS CHURCH

Doing business as

Charli's House

Practice address

3151 N Piper Ave
Casa Grande, AZ 85122-3725

Phone

(520) 560-4077

NPI assigned

May 14, 2019

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tim B Hill

Title

Chairman of Board

Phone

(817) 925-2090

Specialties & licenses 5

Addresses

Other names 1

• Charli's House Doing business as

Locations

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1609432731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 N PIPER AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223725",
            "telephone_number": "520-560-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 N PIPER AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223725",
            "telephone_number": "520-560-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "817-925-2090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charli's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maddison R Cox
• Maureen Francis Cox, M.A.
• Emalee Dale Craft, PHARMD
• Creative Blessings LLC
• David Roger Crosby, DMD
• Bernadette Marie Crovedi, NP-C
• Jose Cuestas III, RPH
• Jeremy Wade Cull, D.D.S.
• Cygnet Academy LLC
• D Michael Dick, P.C.

• Clinic/Center in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.