Crossroads Country Home

LBN: Missouri Quality Care
Crossroads Country Home is an health care organization with primary practice located at 215 S Walnut St , Cameron MO 64429-2265. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Missouri Quality Care can be contacted via phone (816) 632-3773, or through Thornton, Jeff Tyler via phone (816) 632-3773.

Contact Information

Primary practice address
215 S Walnut St Cameron MO 64429-2265
Phone: (816) 632-3773
Fax: (816) 632-3335
Website:
Map and Directions
Authorized official contact:
Name: Thornton, Jeff Tyler
Phone: (816) 632-3773

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 1576-9788 Missouri

Profile Details

NPI number 1003934126
LBN Legal business name Missouri Quality Care
DBA Doing business as Crossroads Country Home
Authorized official Thornton, Jeff Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Mar 7th, 2024 - about last year

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 1003934126 NPPES
Missouri MEDICAID 857883508

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