NPIMap

Organization Active NPI

Crossroads Living Center Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Dixon, CA
National Provider Identifier
1871787572
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CROSSROADS LIVING CENTER INC.
Practice address
1250 Woodman Way
Dixon, CA 95620-2142
Phone
(707) 678-1802
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Julie Schuder
Title
President
Phone
(530) 632-3043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

1250 Woodman Way
Dixon, CA 95620-2142

Mailing address

320 Cernon St
Vacaville, CA 95688-4502

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Living Center Inc3 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.

Locations

320 Cernon St
Vacaville, CA 95688

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1871787572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WOODMAN WAY",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956202142",
            "telephone_number": "707-678-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS LIVING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "SCHUDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-632-3043"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.