Provider Demographics
NPI:1447449129
Name:CROSSROADS HEALTH CARE LLC
Entity type:Organization
Organization Name:CROSSROADS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-383-1466
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64502-0051
Mailing Address - Country:US
Mailing Address - Phone:816-383-1466
Mailing Address - Fax:816-369-2103
Practice Address - Street 1:20731 STATE ROUTE V
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MO
Practice Address - Zip Code:64459-9109
Practice Address - Country:US
Practice Address - Phone:816-383-1466
Practice Address - Fax:816-369-2103
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CROSSROADS HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty