Crossroads Hospice of Atlanta LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0200515330 Issued in GA

Legal business name

CROSSROADS HOSPICE OF ATLANTA LLC

Practice address

1957 Lakeside Pkwy Ste 500
Tucker, GA 30084-5859

Phone

(770) 270-9898

Fax

(770) 270-9896

NPI assigned

Jun 7, 2006

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 2

Addresses

Other identifiers 1

Other names 2

• Crossroads Hospice of Atlanta, LLC Doing business as
• Crossroads Hospice and Palliative Care Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Chanise Bolar, DNP, FNP, CARN-AP

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1285995845

  Multi-Specialty

  NPD (past)
• Bessie Martin-Jackson

  • Family Nurse Practitioner
  • Tucker, GA
  • NPI 1881129807
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1699715045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST",
            "address_2": "SUITE 300",
            "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": "1957 LAKESIDE PKWY STE 500",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845859",
            "telephone_number": "770-270-9898",
            "fax_number": "770-270-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOSPICE OF ATLANTA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARREFOUR ASSOCIATES, LLC",
        "enumeration_date": "2006-06-07",
        "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"
    },
    "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": "GA",
            "license": "0200515330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050414737A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Hospice of Atlanta, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Hospice of Atlanta, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Hospice and Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruth Cox, MIDWIFE
• Brenda Crawford, MSW
• Jessica N Crawford, P.A.
• Crosslinks Family Practice, LLC
• Crossroads Hospice of Atlanta LLC
• Robert M Crowe, PHARM D
• Brooke Cryer, PT, DPT
• Kellsie Currin
• Charles E Curry Jr., MD
• Custom Hair Extensions & Hair Loss Center

• Community Based Hospice Care Agency in Tucker, GA
• Providers in Tucker, GA by specialty
• Community Based Hospice Care Agency in Georgia

• 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.