CROSSROADS AT MOUNTAIN MEADOWS INC. NPI 1366527335

NPI Information

NPI: 1366527335
Provider Name: CROSSROADS AT MOUNTAIN MEADOWS, INC.

Doing Business As: CROSSROADS GROUP HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
9528 OLD WHITE HORSE RD
GREENVILLE, SC
ZIP 29617
Phone: (864) 246-0266
Get Directions

CROSSROADS AT MOUNTAIN MEADOWS, INC. is a residential treatment facility emotionally disturbed children in Greenville, SC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CROSSROADS AT MOUNTAIN MEADOWS, INC. NPI is 1366527335. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Group Home.

The provider's business location address is:

9528 OLD WHITE HORSE RD
GREENVILLE, SC
ZIP 29617-914
Phone: (864) 246-0266
Fax: (864) 246-0652

The provider's authorized official is Lorraine Turner .
The authorized official title is Ceo and has the following contact phone number (864) 246-0266.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.

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	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		SR-0008165001-CCI	SOUTH CAROLINA	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	951MXH	MEDICAID	SOUTH CAROLINA

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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