Organization Active NPI

Crosstree Healthcare Voyage,LLC

  • Assisted Living Facility
  • Malden, MO
National Provider Identifier
1992691745
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CROSSTREE HEALTHCARE VOYAGE,LLC
Practice address
500 Barrett Dr
Malden, MO 63863-1204
Phone
(618) 263-7071
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Scottie Cole II
Title
Owner
Phone
(618) 263-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

500 Barrett Dr
Malden, MO 63863-1204

Mailing address

935 S 16TH Ave
Piggott, AR 72454-3134
Phone (618) 263-7071

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2307030Crosstree Healthcare Voyage, LLC Dba500 Barrett Drive, Malden, MO 63863Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1992691745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 S 16TH AVE",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724543134",
            "telephone_number": "618-263-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BARRETT DR",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638631204",
            "telephone_number": "618-263-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSTREE HEALTHCARE VOYAGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SCOTTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-263-7071",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.