The Crossnore School & Childrens Home, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE CROSSNORE SCHOOL & CHILDRENS HOME, INC

Practice address

1001 Reynolda Rd
Winston Salem, NC 27104-3245

Phone

(336) 721-7600

Fax

(336) 728-4355

NPI assigned

Jan 3, 2008

Last updated

Jan 24, 2017By 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

Brett Loftis Jr.

Title

Ceo

Phone

(336) 721-7600

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Crossnore Clinic3 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.

• Crossnore Communities for Children

  • Community/Behavioral Health Agency
  • Crossnore, NC
  • NPI 1144494402
  NPD tax ID
• Crossnore School, Inc.

  dba Crossnore Therapeutic Foster Care

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Crossnore, NC
  • NPI 1710114103
  NPD tax ID

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1801071345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043245",
            "telephone_number": "336-721-7600",
            "fax_number": "336-728-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043245",
            "telephone_number": "336-721-7600",
            "fax_number": "336-728-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CROSSNORE SCHOOL & CHILDRENS HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "LOFTIS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-721-7600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300421",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTHCHOICE",
            "identifier": "8300421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Children's Home, Inc
• The Children's Home, Inc
• The Children's Home, Inc.
• The Childrens Home Inc
• The Childrens Home, Inc
• The Drug Store Inc (Legacy Consultant Pharmacy)
• The Enrichment Center-an Affiliated Chapter of the Arc
• The Epilepsy Institute of NC
• The Gracen Foundation
• The Hawthorne Pharmacy LLC

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.