CROSSROADS INC. (NPI# 1174658637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174658637 |
| Entity Type | Organization |
| Organization Name | CROSSROADS INC. |
| Practice Address |
1424 Houser St Muscatine IA 52761-2235 |
| Practice Telephone | 5632633545 |
| Mailing Telephone | 5632633545 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM TAYLOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5632633545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | UNKNOWN | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0117184 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CROSSROADS INC | 1265 N Harvard Ave, Claremont, CA 91711-0000 |
| Street Address |
1424 HOUSER ST |
| City | MUSCATINE |
| State | IA |
| Zip Code | 52761-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282327 | Jaime S Jose Jr. | Physical Therapist | Lutheran Living Senior Campus, 2421 Lutheran Drive, Muscatine, IA 52761 | 2020-10-15 |
| 1871063446 | Stephanie Marie Fiser | Counselor | 503 Iowa Ave, Muscatine, IA 52761 | 2018-11-27 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1538614086 | Sejal Savani | Dentist | 3020 N Highway 61, Muscatine, IA 52761 | 2016-08-24 |
| 1932468006 | Jason R Carstens | Chiropractor | 3800 Grandview Avenue, Muscatine, IA 52761 | 2012-05-10 |
| 1699062166 | Joyce Esther Hart-leon | Marriage & Family Therapist | 2821 Hwy 22 East., Muscatine, IA 52761 | 2011-07-06 |
| 1750533667 | Sunnybrook of Muscatine | Assisted Living Facility | 3515 Dianna Queen Drive, Muscatine, IA 52761 | 2008-10-22 |
| 1346415403 | Marcie L. Nithang | Counselor | 315 Iowa Ave., Ste. C, Muscatine, IA 52761 | 2008-04-29 |
| 1023238474 | Barbara Joan Gipple | Dentist | 2195 North Hill Road, Muscatine, IA 52761 | 2007-04-26 |
| 1154484954 | Holly Ann Krystek | Dentist | 2920 Cedar St, Muscatine, IA 52761 | 2006-12-19 |
| Find all providers in zip 52761 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040111 | Ability United LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 N Adams St, Carroll, IA 51401-2821 | 2020-04-01 |
| 1881045706 | Golden Touch Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7618 Hickman Rd, Windsor Heights, IA 50324-4510 | 2016-06-22 |
| 1518302801 | The Phoenix Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 S 37th St Apt F, Council Bluffs, IA 51501-3284 | 2013-05-01 |
| 1720331739 | The Collaborative Adult Relationship Experiences Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2649 Avenue B, Council Bluffs, IA 51501-2105 | 2012-10-16 |
| 1407115645 | Anchor Homes, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 501 N 15th St, Clarinda, IA 51632-1632 | 2012-05-09 |
| 1306115365 | Community Living Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8517 Airline Ave, Urbandale, IA 50322-2317 | 2011-12-21 |
| 1033414826 | Tandem Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Ave Ste D2, Des Moines, IA 50310-5804 | 2011-01-25 |
| 1720284524 | Comprehensive Systems, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Clark Street, Charles City, IA 50616-0457 | 2007-06-27 |
| 1265578439 | Discovery Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 220 Northland Ct Ne, Cedar Rapids, IA 52402-6226 | 2007-01-29 |
| 1619023488 | Link Associates | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1452 29th St, West Des Moines, IA 50266-1306 | 2007-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.