Crossroads Caring Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL12630

Legal business name

CROSSROADS CARING HOME

Practice address

2563 River Road
Caryville, FL 32427

Phone

(850) 535-4267

NPI assigned

Mar 9, 2015

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clifton Hammack

Title

President

Phone

(850) 768-9672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1720471220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 RIVER RD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "324272013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 RIVER ROAD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "32427",
            "telephone_number": "850-535-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CARING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HAMMACK",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-768-9672"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": "AL12630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broxton a.L.F. Home
• Jennifer B Hall, LCSW
• Sunshine Acres Assisted Living Facility, Inc.
• Sunshine Acres Loving Care Assisted Living Facility Inc
• Sunshine Country Assisted Living Facility, Inc.

• Assisted Living Facility (Mental Illness) in Caryville, FL
• Providers in Caryville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.