Organization Active NPI

Crossroads Hospice of Oklahoma City, LLC

Doing business as Crossroads Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1982311221
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC
Doing business as
Crossroads Hospice
Practice address
1301 SE 59TH St
Oklahoma City, OK 73129-7307
Phone
(405) 632-9631
Fax
(405) 632-9624
NPI assigned
Nov 4, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CARREFOUR ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Clayton Lee Farmer
Title
Cfo/Coo
Phone
(918) 627-6846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary

Addresses

Primary practice location

1301 SE 59TH St
Oklahoma City, OK 73129-7307

Mailing address

10810 E 45TH St Ste 300
Tulsa, OK 74146-3816
Phone (918) 627-6846

Other names 2

  • Crossroads Hospice Doing business as
  • Crossroads Hospice & Palliative Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1982311221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463816",
            "telephone_number": "918-627-6846",
            "fax_number": "918-627-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SE 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731297307",
            "telephone_number": "405-632-9631",
            "fax_number": "405-632-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARREFOUR ASSOCIATES, LLC",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "918-627-6846"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Hospice & Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.