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Contact Information

CROSSROADS HOSPICE OF TENNESSEE
1669 SHELBY OAKS DR N STE 106
MEMPHIS, TN38134-7441
 Phone: 901-382-9292
 Fax: 901-384-7914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CROSSROADS HOSPICE OF TENNESSEE

NPI # 1316982739
LBN Legal business name CROSSROADS HOSPICE OF TENNESSEE
Authorized official CLAYTON FARMER - (CFO/COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/19/2006
Last updated 11/14/2022 - About 4 years ago
Identifiers
TN License # 0200515330 RL
TN Medicaid 121052
TN Medicaid 14794
TN Medicaid 3095496
TN Medicaid 8805
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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