Crossroads Hospice of St Louis, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CROSSROADS HOSPICE OF ST LOUIS, LLC

Doing business as

Crossroads Hospice of St. Louis, LLC

Practice address

15450 S Outer 40 Rd Ste 100
Chesterfield, MO 63017-2062

Phone

(314) 801-6960

Fax

(314) 801-6999

NPI assigned

Mar 4, 2009

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

Mr. Clayton Lee Farmer

Title

Cfo/Coo

Phone

(918) 627-6846

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Crossroads Hospice of St. Louis, LLC Doing business as
• Crossroads Hospice and Palliative Care Other name

Locations

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1669612511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST",
            "address_2": "SUITE300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463818",
            "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": "15450 S OUTER 40 RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172062",
            "telephone_number": "314-801-6960",
            "fax_number": "314-801-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOSPICE OF ST LOUIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARREFOUR ASSOCIATES, LLC",
        "enumeration_date": "2009-03-04",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829685403",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Hospice of St. Louis, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Hospice and Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tanya L Crews, LPC, NCC, RPT-S
• Danika Rose Critcheloe
• Avery Croft
• Christopher S. Cronin, M.D.
• Crossroads Hospice of St Louis, LLC
• Stephanie D Crouch, NP
• She'Tongela Crutcher, NP
• CT Partners of Chesterfield, LLC
• Maria Anique Cuccio, RDLD
• Ali Cullum, LPC

• Community Based Hospice Care Agency in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Community Based Hospice Care Agency in Missouri

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