Crossroads Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROSSROADS REHABILITATION, LLC

Practice address

1745 Bailey Ave
Haynesville, LA 71038-5411

Phone

(318) 624-9299

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steve Grayson

Title

Owner

Phone

(318) 255-1702

Specialties & licenses 1

Addresses

Tax ID family

Crossroads Rehabilitation LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Crossroads Rehabilitation

  • Speech-Language Pathologist
  • Haynesville, LA
  • NPI 1215912290
  NPD tax ID
• Crossroads Rehabilitation LLC

  • Physical Therapist
  • Homer, LA
  • NPI 1861775058
  NPD tax ID

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700091212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 ENGLISH TURN",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 BAILEY AVE",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710385411",
            "telephone_number": "318-624-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-255-1702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Untracy Vanee Brittentine
• Butler-Abshire Medical Clinic, Apmc
• Butler-Abshire Medical Clinic, Apmc
• Clint Chachere Butler, MD
• Crossroads Rehabilitation
• David Raines Community Health Center, Inc
• Alice J Fanning, FNP
• Paula Herrington
• Homer Memorial Hospital (Butler-Abshire Medical Clinic)
• James K Killgore Inc (Killgores Pharmacy)

• Skilled Nursing Facility in Haynesville, LA
• Providers in Haynesville, LA by specialty
• Skilled Nursing 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.