Crossroads Hospice of Dayton LLC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

CROSSROADS HOSPICE OF DAYTON LLC

Doing business as

Crossroads Hospice of Dayton, LLC

Practice address

8069 Washington Village Dr
Dayton, OH 45458-1847

Phone

(937) 312-3170

Fax

(937) 439-5903

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CARREFOUR ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Clayton Lee Farmer

Title

Cfo/Coo

Phone

(918) 627-6846

Specialties & licenses 1

Addresses

Other names 2

• Crossroads Hospice of Dayton, LLC Doing business as
• Crossroads Hospice & Palliative Care Other name

Tax ID family

Crossroads Hospice and Palliative Care2 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.

• Crossroads Hospice of Dayton LLC

  • Community Based Hospice Care Agency
  • Dayton, OH
  • NPI 1679741128
  NPD tax ID

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1609583046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463816",
            "telephone_number": "918-627-6846",
            "fax_number": "918-627-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8069 WASHINGTON VILLAGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "937-312-3170",
            "fax_number": "937-439-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOSPICE OF DAYTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARREFOUR ASSOCIATES, LLC",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "918-627-6846"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Hospice of Dayton, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Hospice & Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Cross
• Mark Alan Cross
• Niccolynn Cross, COTA/L
• Xoliswa N Cross, PMHNP-BC
• Yana Crossland
• Crossroads Hospice of Dayton LLC
• Kyle Anthony Crosthwaite, PA-C
• Ashley Erinn Crouch
• Brandy Jo Crouch, RNBSN
• John William Crouch, PA-C

• Hospice and Palliative Medicine (Family Medicine) Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.