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Contact Information

CROSSROADS SUPPORT SERVICES, INC
1316 WAYNE MEMORIAL DRIVE
SUITE C
GOLDSBORO, NC27534-2253
 Phone: 919-736-9242
 Fax: 919-736-9299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for CROSSROADS SUPPORT SERVICES, INC

NPI Number 1205938412
LBN Legal business name CROSSROADS SUPPORT SERVICES, INC
Authorized official THOMAS JOHNSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 07/09/2012 - About 14 years ago
Identifiers
NC License # HC 1678
NC Medicaid 3408924
NC Medicaid 6600650
NC Medicaid 7211500
NC Medicaid 8300562
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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