Crossroads Louisiana, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

1718378 Issued in LA

Legal business name

CROSSROADS LOUISIANA, INC.

Practice address

1817 Hancock St
Gretna, LA 70053-3408

Phone

(504) 366-1828

Fax

(504) 366-1867

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Duncan

Title

Executive Director

Phone

(504) 366-1828

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cher-Ami of Gretna Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G327

Legal name

Cher Ami Homes of Gretna

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Oct 4, 1989

Last certification

Apr 1, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

1817 Hancock Street
Gretna, LA 70053

Tax ID family

Crossroads Louisiana in8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Crossroads la. Inc.

  • Assisted Living Facility
  • New Orleans, LA
  • NPI 1366573115
  NPD tax ID
• Crossroads la. Inc.

  • Assisted Living Facility
  • New Orleans, LA
  • NPI 1417088816
  NPD tax ID
• Crossroads Louisiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • New Orleans, LA
  • NPI 1124148507
  NPD tax ID
• Crossroads Louisiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • New Orleans, LA
  • NPI 1245350602
  NPD tax ID
• Crossroads Louisiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • New Orleans, LA
  • NPI 1508986977
  NPD tax ID
• Crossroads Louisiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • New Orleans, LA
  • NPI 1760504625
  NPD tax ID
• Melbrook Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Gretna, LA
  • NPI 1821241712
  NPD tax ID

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679693014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 OLIVIER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701141046",
            "telephone_number": "504-366-1828",
            "fax_number": "504-366-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 HANCOCK ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533408",
            "telephone_number": "504-366-1828",
            "fax_number": "504-366-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-366-1828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "1718378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718378",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cher-Ami of Gretna",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Gretna, LA
• Providers in Gretna, LA by specialty
• Intellectual Disabilities Intermediate Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.