CROSSROADS HOSPICE OF ST LOUIS LLC NPI 1669612511

NPI Information

NPI: 1669612511
Provider Name: CROSSROADS HOSPICE OF ST LOUIS LLC

Doing Business As: CROSSROADS HOSPICE OF ST. LOUIS, LLC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 26D2027892

Address:
15450 S OUTER 40 RD STE 100
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 801-6960
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CROSSROADS HOSPICE OF ST LOUIS LLC is a hospice care community based in Chesterfield, MO. CROSSROADS HOSPICE OF ST LOUIS LLC NPI is 1669612511. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Hospice Of St. Louis, Llc.

The provider's business location address is:

15450 S OUTER 40 RD STE 100
CHESTERFIELD, MO
ZIP 63017-062
Phone: (314) 801-6960
Fax: (314) 801-6999

The provider's authorized official is Clayton Lee Farmer .
The authorized official title is Secretary and has the following contact phone number (918) 627-6846.

The CLIA number assigned to this NPI record is 26D2027892 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 11/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	261645	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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