CROSSTREE HEALTHCARE THE RANCHLLC NPI 1508579525

NPI Information

  • NPI: 1508579525
  • Provider Name: CROSSTREE HEALTHCARE THE RANCH,LLC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • CLIA Number: 26D2295533
  • Address: 18839 HUMMINGBIRD LN
    MARBLE HILL, MO
    ZIP 63764
  • Phone: (573) 238-4253

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NPI Details

CROSSTREE HEALTHCARE THE RANCH,LLC is an assisted living and mental illness assisted living facility in Marble Hill, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. CROSSTREE HEALTHCARE THE RANCH,LLC NPI is 1508579525. The provider is registered as an organization entity type.

The provider's business location address is:

18839 HUMMINGBIRD LN
MARBLE HILL, MO
ZIP 63764-882
Phone: (573) 238-4253

The provider's authorized official is Scottie Cole .
The authorized official title is Owner and has the following contact phone number (618) 263-7071.

The CLIA number assigned to this NPI record is 26D2295533 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2023 and was last updated on 1/4/2023.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 3/30/2025

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