Crossroads Skills Dev.Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

190508AN Issued in CA

Legal business name

CROSSROADS SKILLS DEV.INC.

Practice address

1704 W Manchester Ave
Suite 105
Los Angeles, CA 90047-3034

Phone

(323) 759-6224

Fax

(323) 759-6189

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James O Eze

Title

Executive Director

Phone

(323) 759-6224

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Crossroads Skills Development Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crossroads Skills Development Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1154546992
  NPD tax ID

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972632404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473034",
            "telephone_number": "323-759-6224",
            "fax_number": "323-759-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473034",
            "telephone_number": "323-759-6224",
            "fax_number": "323-759-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SKILLS DEV.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-759-6224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190508AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL",
            "identifier": "7210",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOD",
            "identifier": "190508AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranzel Pangos Cross, MBA
• Sybil Elaine Cross, NP-C
• Yolanda Cross
• Hayley Nicole Crossley, LCSW
• Crossroad Hospice Care,Inc.
• Crossroads Skills Development Inc.
• Crossroads Speech & Language Pathology Services, Inc.
• Ross Crothers, LMFT
• Gina Lynn Crotts, RADT 1
• Crouch House Inc

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.