CROSSROADS, INC (NPI# 1588093116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588093116 |
| Entity Type | Organization |
| Organization Name | CROSSROADS, INC |
| Practice Address |
1845 E Ocotillo Rd Phoenix AZ 85016-1150 |
| Mailing Address |
7523 N 35th Ave Phoenix AZ 85051-7422 |
| Practice Telephone | 6022792585 |
| Practice Fax Number | 6022791316 |
| Mailing Telephone | 6022498002 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | LEE PIOSKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6024240373 |
| Authorized Official Credential | MS LISAC |
| Is Organization Subpart | Y |
| Parent Organization Name | CROSSROADS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-865 | AZ | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH-865 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827561 | Crossroads, Inc | Community/Behavioral Health | 2002 E Osborn Rd, Phoenix, AZ 85016-7236 | 2020-09-29 |
| 1083094841 | Crossroads, Inc | Community/Behavioral Health | 1700 E Thomas Rd, Phoenix, AZ 85016-7605 | 2015-06-05 |
| 1134557028 | Crossroads, Inc | Community Based Residential Treatment Facility, Mental Illness | 3702 N 13th Ave, Phoenix, AZ 85013-3677 | 2013-10-31 |
| 1003244153 | Crossroads, Inc | Community Based Residential Treatment Facility, Mental Illness | 7523 N 35th Ave, Phoenix, AZ 85051-7422 | 2013-10-29 |
| 1477981520 | Crossroads, Inc | Community Based Residential Treatment Facility, Mental Illness | 5116 E Thomas Rd, Phoenix, AZ 85018-7915 | 2013-10-29 |
| 1669670485 | Crossroads, Inc | Case Management | 1888 E 15th St, Tulsa, OK 74104-4611 | 2007-07-03 |
| 1255962270 | Crossroads, Inc | Clinic/Center | 3702 N 13th Ave, Phoenix, AZ 85013-3677 | 2020-01-29 |
| 1457915480 | Crossroads, Inc | Counselor | 1632 E Flower St, Phoenix, AZ 85016-7115 | 2019-04-25 |
| 1184103400 | Crossroads, Inc | Rehabilitation, Substance Use Disorder Unit | 1700 E Thomas Rd, Phoenix, AZ 85016-7605 | 2018-08-08 |
| 1184102709 | Crossroads, Inc | Community/Behavioral Health | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2018-08-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CROSSROADS, INC. | 1424 Houser Street, Muscatine, IA 52761 |
| Washington State Corporations | CROSSROADS, INC. | 2230 7th Ave, Seattle, WA 98121-1902 |
| Massachusetts Corporations | CROSSROADS, INC. | 24 Stub Toe Ln., Sudbury, MA 01776 |
| Connecticut Business Registrations | CROSSROADS, INC. OF MANCHESTER | Raymond Juleson, 329 Hackmatack St, Manchester, CT 06040 |
| Street Address |
1845 E OCOTILLO RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743659 | Crossroads, Inc. | Counselor | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2019-04-25 |
| 1851814040 | Crossroads East | Substance Abuse Rehabilitation Facility | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2017-07-20 |
| 1528489549 | Lee Pioske | Counselor | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726361 | Northstar Homecare LLC | Substance Abuse Rehabilitation Facility | 5239 S 33rd Dr, Phoenix, AZ 85041-7411 | 2020-07-01 |
| 1891312542 | Semper Fidelis Behavioral Health Care, LLC | Substance Abuse Rehabilitation Facility | 8020 N 17th Dr, Phoenix, AZ 85021-5217 | 2020-06-29 |
| 1558988246 | Cmj Recovery Az LLC | Substance Abuse Rehabilitation Facility | 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 | 2020-06-29 |
| 1720549009 | Rtc Management Group, LLC | Substance Abuse Rehabilitation Facility | 1340 E Desert Cove Ave, Phoenix, AZ 85020-1110 | 2019-03-28 |
| 1497227771 | Vogue Recovery Center Outpatient | Substance Abuse Rehabilitation Facility | 4122 N 17th St Bldg C, Phoenix, AZ 85016-5922 | 2018-12-26 |
| 1780155077 | Pb Medical Group of Arizona, LLC | Substance Abuse Rehabilitation Facility | 3000 N 91st Ave, Phoenix, AZ 85037-4037 | 2018-12-11 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1891283149 | Bbc Whitton, LLC | Substance Abuse Rehabilitation Facility | 1106 E Whitton Ave, Phoenix, AZ 85014-5053 | 2018-04-23 |
| 1417456336 | Vogue Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4122 N 17th St, Phoenix, AZ 85016-5922 | 2018-02-06 |
| 1992254338 | A Path of Resilience | Substance Abuse Rehabilitation Facility | 6102 S 37th Ln, Phoenix, AZ 85041-5021 | 2016-09-27 |
| Find all providers in PHOENIX | ||||
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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.