Crossroads Isl, Llc

LBN: Crossroads Isl, Llc
Crossroads Isl, Llc is an health care organization with primary practice located at 240 N Kingshighway St , Sikeston MO 63801-4102. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Crossroads Isl, Llc can be contacted via phone (573) 472-9696, or through Miller, Edward via phone (573) 472-9696.

Contact Information

Primary practice address
240 N Kingshighway St Sikeston MO 63801-4102
Phone: (573) 472-9696
Fax: (573) 472-9494
Website:
Map and Directions
Authorized official contact:
Name: Miller, Edward
Phone: (573) 472-9696

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1730234931
LBN Legal business name Crossroads Isl, Llc
DBA Doing business as
Authorized official Miller, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Sep 14th, 2009 - about 15 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730234931 NPPES
Missouri MEDICAID 856107305

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