Crossroads Support Services, Inc
LBN: Crossroads Support Services, Inc
Crossroads Support Services, Inc is an health care organization with primary practice located at 1316 Wayne Memorial Drive Suite C, Goldsboro NC 27534-2253. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Agencies / Home Health is the primary health care specialty.
Crossroads Support Services, Inc can be contacted via phone (919) 736-9242, or through Johnson, Thomas via phone (919) 736-9242.
Contact Information
Primary practice address
1316 Wayne Memorial Drive Suite C
Goldsboro NC 27534-2253
Phone: (919) 736-9242
Fax: (919) 736-9299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | HC 1678 | North Carolina |
| Nursing Service Related Providers / Home Health Aide | 374U00000X | HC 1678 | North Carolina |
Profile Details
| NPI number | 1205938412 |
|---|---|
| LBN Legal business name | Crossroads Support Services, Inc |
| DBA Doing business as | |
| Authorized official | Johnson, Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 9th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205938412 | NPPES |
| North Carolina | MEDICAID | 8300562 | |
| North Carolina | MEDICAID | 6600650 | |
| North Carolina | MEDICAID | 3408924 | |
| North Carolina | MEDICAID | 7211500 |
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