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CROSSROADS ASSISTED LIVING NPI 1750873386


NPI Information

NPI: 1750873386
Provider Name: CROSSROADS ASSISTED LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 06D2228733

Address:
1380 ASPEN WAY
DELTA, CO
ZIP 81416
Phone: (970) 874-1421
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CROSSROADS ASSISTED LIVING is an assisted living facility in Delta, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CROSSROADS ASSISTED LIVING NPI is 1750873386. The provider is registered as an organization entity type.

The provider's business location address is:

1380 ASPEN WAY
DELTA, CO
ZIP 81416
Phone: (970) 874-1421
Fax: (970) 874-8018

The provider's authorized official is Bobbie Richardson .
The authorized official title is Administrative Assistant and has the following contact phone number (970) 874-1421.

The CLIA number assigned to this NPI record is 06D2228733 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 5/30/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility23R567COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000146632MEDICAIDCOLORADO

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: 4/28/2024

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