Crossroad Child & Family Services, Inc.
LBN: Crossroad Child & Family Services, Inc.
Crossroad Child & Family Services, Inc. is an health care organization with primary practice located at 1825 Beacon Street , Fort Wayne IN 46805. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty.
Crossroad Child & Family Services, Inc. can be contacted via phone (260) 484-4153, or through Mullins, David via phone (260) 484-4153.
Contact Information
Primary practice address
1825 Beacon Street
Fort Wayne IN 46805
Phone: (260) 484-4153
Fax: (260) 484-2337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 3001702900002 | Indiana |
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | 3001702900002 | Indiana |
Profile Details
| NPI number | 1699868893 |
|---|---|
| LBN Legal business name | Crossroad Child & Family Services, Inc. |
| DBA Doing business as | |
| Authorized official | Mullins, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Feb 14th, 2024 - about 9 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699868893 | NPPES |
| Indiana | MEDICAID | 200295210 |
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