CROSSROADS LIVING CENTER INC. (NPI# 1669667861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669667861 |
| Entity Type | Organization |
| Organization Name | CROSSROADS LIVING CENTER INC. |
| Practice Address |
880 Alexander Dr Dixon CA 95620-4102 |
| Mailing Address |
320 Cernon St Vacaville CA 95688-4502 |
| Practice Telephone | 7076931851 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | JULIE SCHUDER (PRESIDENT) |
| Authorized Official Telephone | 5306323043 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871787572 | Crossroads Living Center Inc. | Intermediate Care Facility, Mentally Retarded | 1250 Woodman Way, Dixon, CA 95620-2142 | 2007-09-05 |
| Street Address |
880 ALEXANDER DR |
| City | DIXON |
| State | CA |
| Zip Code | 95620-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023230919 | Alison Miller Aubert | Specialist/Technologist | 1935 Berry Ct, Dixon, CA 95620 | 2007-05-02 |
| 1487772539 | Dixon Unified Schools District | Local Education Agency (LEA) | 180 S. First St., Suite 6, Dixon, CA 95620 | 2007-03-27 |
| 1285774182 | Tully Wiedman | Emergency Medicine | 5724 Silveyville Road, Dixon, CA 95620 | 2007-02-08 |
| 1659467215 | Sandra D Lee | Family Medicine | 125 North Lincoln, #g, Dixon, CA 95620 | 2006-10-04 |
| 1093827743 | Haan J Elling | Physical Therapist | 125 N Lincoln St Ste H, Dixon, CA 95620 | 2006-08-31 |
| 1336670777 | Lourdes Mejia | Psychologist | 1600 California Drive, Vacaville, CA 95620 | 2017-03-27 |
| 1508016759 | Mahaan Rehab. Services Inc | Physical Therapist | 125 N Lincoln St Ste H, Dixon, CA 95620 | 2008-09-24 |
| 1811211204 | Dixon Family Chiropractic | Chiropractor | 1330 N Lincoln St, Dixon, CA 95620-2022 | 2010-03-15 |
| 1568506616 | S. Todd Comm, D.d.s., Inc. | Dentist | 1300 N Lincoln St, Suite A, Dixon, CA 95620-2022 | 2007-02-19 |
| 1386002954 | Allison Craig | Dentist | 1300 N Lincoln St, Dixon, CA 95620-2022 | 2016-02-10 |
| Find all providers in zip 95620 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295067247 | Kreider Services Inc | Intermediate Care Facility, Mentally Retarded | 726 N Ottawa Ave, Dixon, IL 61021-1632 | 2010-02-02 |
| 1073843165 | Kreider Services Incorporated | Intermediate Care Facility, Mentally Retarded | 1201 Middle Rd, Dixon, IL 61021-3977 | 2010-01-12 |
| 1871787572 | Crossroads Living Center Inc. | Intermediate Care Facility, Mentally Retarded | 1250 Woodman Way, Dixon, CA 95620-2142 | 2007-09-05 |
| 1376525204 | Illinois Department of Human Services | Intermediate Care Facility, Mentally Retarded | 1120 Washington Ave, Dixon, IL 61021-1258 | 2005-11-16 |
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| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| 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.