Crossroads Hospice of Oklahoma City, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4142 Issued in OK

Legal business name

CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC

Doing business as

Crossroads Hospice

Practice address

1301 SE 59TH St
Oklahoma City, OK 73129-7307

Phone

(405) 632-9631

Fax

(405) 632-9624

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 names 2

• Crossroads Hospice Doing business as
• Crossroads Hospice and Palliative Care Other name

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": "1700826138",
    "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": "1301 SE 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731297307",
            "telephone_number": "405-632-9631",
            "fax_number": "405-632-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOSPICE OF OKLAHOMA CITY, 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": "OK",
            "license": "4142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Hospice and Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Michael Crossett, P.T.
• Lindsay Crossley, RD, IBCLC
• Terah Crosson, APRN
• Crosspoint Medical Inc (Billet Medical-OKC)
• Crossroads Family Dentistry
• Crossroads Hospice of Oklahoma City, LLC (Crossroads Hospice)
• Crossroads Vision Center, PC
• Crossroads Vision Center, PC
• Crossway Medical Clinic W Memorial PLLC
• Crossway Now, LLC

• Community Based Hospice Care Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• 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.