Organization Active NPI

Crossroads Assisted Living

  • Assisted Living Facility
  • Delta, CO
National Provider Identifier
1750873386
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23R567 Issued in CO
Legal business name
CROSSROADS ASSISTED LIVING
Practice address
1380 Aspen Way
Delta, CO 81416
Phone
(970) 874-1421
Fax
(970) 874-8018
NPI assigned
May 30, 2018
Last updated
May 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Bobbie Richardson
Title
Administrative Assistant
Phone
(970) 874-1421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23R567 CO Primary

Addresses

Primary practice location

1380 Aspen Way
Delta, CO 81416

Mailing address

1380 Aspen Way
Delta, CO 81416
Phone (970) 874-1421

Other identifiers 1

IdentifierTypeStateIssuer
9000146632MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1750873386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 ASPEN WAY",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-874-1421",
            "fax_number": "970-874-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 ASPEN WAY",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-874-1421",
            "fax_number": "970-874-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "970-874-1421"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23R567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000146632",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.