CROSSROADS ADULT DAYCARE CENTER, INC (NPI# 1184043770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184043770 |
| Entity Type | Organization |
| Organization Name | CROSSROADS ADULT DAYCARE CENTER, INC |
| Practice Address |
1011 Homeland Ave Greensboro NC 27405-7003 |
| Practice Telephone | 3363330059 |
| Practice Fax Number | 3362730456 |
| Mailing Telephone | 3363330059 |
| Mailing Fax Number | 3362730456 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | KIM B HAYES (DIRECTOR) |
| Authorized Official Telephone | 3363330059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
1011 HOMELAND AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1184157935 | Hooper's Mobile Phlebotomist | Day Training, Developmentally Disabled Services | 601 Friendway Rd Apt 3l, Greensboro, NC 27410-6403 | 2017-04-08 |
| 1992246680 | The Dollin Group, LLC | Day Training, Developmentally Disabled Services | 2300 Soabar St, Box 16205, Greensboro, NC 27406-3650 | 2017-03-14 |
| 1518352079 | Jade Comprehensive Habilitative Services LLC | Day Training, Developmentally Disabled Services | 2709 Wild Poplar Way, Greensboro, NC 27405-2970 | 2015-04-01 |
| 1164837332 | Multi-therapeutic Services, Inc. | Day Training, Developmentally Disabled Services | 807 Dolley Madison Rd, Apt 1-d, Greensboro, NC 27410-4379 | 2014-06-26 |
| 1437590106 | University of North Carolina At Chapel Hill-teacch Autism Program | Day Training, Developmentally Disabled Services | 925 Revolution Mill Dr., Greensboro, NC 27405 | 2013-07-10 |
| 1588917165 | Family Wellness and Clinical Services, Pllc | Day Training, Developmentally Disabled Services | 4215 River Birch Loop Apt 2g, Greensboro, NC 27409-8042 | 2012-10-20 |
| 1427381755 | Daystar Adult Day Program, LLC | Day Training, Developmentally Disabled Services | 415 N Edgeworth St Ste 209, Greensboro, NC 27401-2071 | 2009-09-18 |
| 1487811469 | Focused On Life, LLC | Day Training, Developmentally Disabled Services | 1205 W Bessemer Ave Ste 101, Greensboro, NC 27408-8458 | 2008-05-19 |
| 1194913814 | Morgan Support Services | Day Training, Developmentally Disabled Services | 500 Spring Garden St, Greensboro, NC 27401-2744 | 2007-10-09 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on CROSSROADS ADULT DAYCARE CENTER, INC.
| 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.