CROSSROADS COMMUNITY, INC. (NPI# 1346569134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346569134 |
| Entity Type | Organization |
| Organization Name | CROSSROADS COMMUNITY, INC. |
| Practice Address |
404 Lecompte St Cambridge MD 21613-2437 |
| Mailing Address |
Po Box 718 120 Banjo Lane Centreville MD 21617-0718 |
| Practice Telephone | 4102217540 |
| Practice Fax Number | 4102217541 |
| Mailing Telephone | 4107583050 |
| Mailing Fax Number | 4107581223 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | MR. JOHN F. PLASKON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107583050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4389 | MD | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043549611 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2009-12-10 |
| 1245877182 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2019-12-10 |
| 1871130716 | Crossroads Community, Inc. | Community/Behavioral Health | 404 Lecompte St, Cambridge, MD 21613-2437 | 2019-12-10 |
| 1780221622 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2019-12-10 |
| 1821548918 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2016-10-12 |
| 1568912657 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2016-10-12 |
| 1730639824 | Crossroads Community, Inc. | Community/Behavioral Health | 404 Lecompte St, Cambridge, MD 21613-2437 | 2016-10-12 |
| 1437517000 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2016-02-10 |
| 1609085976 | Crossroads Community, Inc. | Case Management | 120 Banjo Ln, Centreville, MD 21617-1002 | 2007-05-22 |
| 1871701391 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2007-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CROSSROADS COMMUNITY, INC. | 120 Banjo Lane, Centreville, MD 21617-1002 |
| Street Address |
404 LECOMPTE ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130716 | Crossroads Community, Inc. | Community/Behavioral Health | 404 Lecompte St, Cambridge, MD 21613-2437 | 2019-12-10 |
| 1730639824 | Crossroads Community, Inc. | Community/Behavioral Health | 404 Lecompte St, Cambridge, MD 21613-2437 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1134767130 | Fernanda Greco Quentel | Community/Behavioral Health | 248 Putnam Ave # 1, Cambridge, MA 02139-3768 | 2019-12-20 |
| 1417424466 | Lower Shore Clinic, Inc. | Community/Behavioral Health | 828 Airpax Rd # 600b, Cambridge, MD 21613-6401 | 2018-10-29 |
| 1225426463 | Harvesting Hope,llc | Community/Behavioral Health | 204 Cedar St # 102, Cambridge, MD 21613-2395 | 2014-12-22 |
| 1821420274 | Massachusetts Alliance for Portuguese Speakers | Community/Behavioral Health | 1046 Cambridge St, Cambridge, MA 02139-1407 | 2013-08-07 |
| 1063779460 | Cedar Ridge Behavioral Health Solutions LLC | Community/Behavioral Health | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2012-04-23 |
| 1679844526 | Southeastern Ohio Counseling Center, LLC. | Community/Behavioral Health | 5494 High Hill Rd, Cambridge, OH 43725-8640 | 2012-01-24 |
| 1982906186 | Shore Resolutions LLC | Community/Behavioral Health | 211 High St., Cambridge, MD 21613-1816 | 2010-11-22 |
| 1356668818 | Baycove Human Services | Community/Behavioral Health | 16 Walden Square Rd, Apt. 412, Cambridge, MA 02140-3406 | 2010-04-23 |
| 1922323088 | Abundant Life Counseling Center, Incorporated | Community/Behavioral Health | 459 Putnam Ave, Cambridge, MA 02139-4752 | 2010-04-01 |
| Find all providers in CAMBRIDGE | ||||
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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.