CROSSROADS TREATMENT CENTER OF CLEVELAND COUNTY, PC (NPI# 1609370568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609370568 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TREATMENT CENTER OF CLEVELAND COUNTY, PC |
| Practice Address |
1895 E Dixon Blvd Shelby NC 28152 |
| Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
| Practice Telephone | 7044663970 |
| Practice Fax Number | 7046006011 |
| Mailing Telephone | 8645273145 |
| Mailing Fax Number | 8649900653 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | RUPERT JAMES MCCORMAC (CEO) |
| Authorized Official Telephone | 8645273145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | NC | Agencies | |
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
NC | Ambulatory Health Care Facilities | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
1895 E DIXON BLVD |
| City | SHELBY |
| State | NC |
| Zip Code | 28152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871173 | Gabriell Charlotte Williams-harkey | Counselor | 1895 E Dixon Blvd, Shelby, NC 28152-6901 | 2020-05-05 |
| 1144849936 | Barbara Small | Registered Nurse | 1895 E Dixon Blvd, Shelby, NC 28152-6901 | 2020-04-11 |
| 1790241529 | Renota Strickland Isenhour | Licensed Practical Nurse | 1895 E Dixon Blvd, Shelby, NC 28152-6901 | 2019-02-18 |
| 1629534391 | Andrea Kristina Foretnberry | Registered Nurse | 1895 E Dixon Blvd, Shelby, NC 28152-6901 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1902277981 | Angela Hamilton Jones | Social Worker | 1243 East Dixon Blvd., Suite 4, Shelby, NC 28152 | 2015-10-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1689086332 | Stanley Todd Bilin | Marriage & Family Therapist | 1243-4 East Dixon Blvd, Shelby, NC 28152 | 2014-05-29 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1659602928 | Katherine Ruthsatz Kjergaard | Physician Assistant | 105 East College Street, Shelby, NC 28152 | 2010-01-26 |
| 1407099229 | Cnc / Access, Inc. | Community/Behavioral Health | 1165 Country Home Road, Shelby, NC 28152 | 2009-04-09 |
| 1114184207 | Heike Hermine Arrowood | Nurse Practitioner | 307 Christopher Road, Shelby, NC 28152 | 2008-05-18 |
| Find all providers in zip 28152 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047369 | The Blanchard Institute | Clinic/Center | 19902 N Cove Rd, Cornelius, NC 28031-6571 | 2020-09-15 |
| 1841816006 | Totten Therapeutic Services, Pllc | Clinic/Center | 5874 Faringdon Pl, Raleigh, NC 27609-3932 | 2020-06-23 |
| 1710527767 | New Leaf Center, LLC | Clinic/Center | 4195 W Us Highway 64 Ste 2, Murphy, NC 28906-8112 | 2020-01-07 |
| 1194372029 | Northstar Clinical Services | Clinic/Center | 322 Lamar Ave Ste 220, Charlotte, NC 28204-2436 | 2019-08-26 |
| 1679041362 | Oasis Recovery Centers, Inc | Clinic/Center | 191 Charlotte St # 200, Asheville, NC 28801-1938 | 2018-11-11 |
| 1225503527 | Recovery Center of North Carolina, LLC | Clinic/Center | 1806 N Aspen St, Lincolnton, NC 28092-6303 | 2018-10-12 |
| 1538648944 | Morehead City Treatment Center, LLC | Clinic/Center | 403 N 35th St, Morehead City, NC 28557-3107 | 2018-08-08 |
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1093226110 | Promises12 Ltd LLC | Clinic/Center | 35 Means Ave Se, Concord, NC 28025-3563 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CROSSROADS TREATMENT CENTER OF CLEVELAND COUNTY, PC.
| 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.