CROSSROADS GROUP HOME – NPI #1366527335
Residential Treatment Facility, Emotionally Disturbed Children

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 GROUP HOME is a residential treatment facility located in GREENVILLE, SC. NPPES has assigned the NPI number 1366527335 to CROSSROADS GROUP HOME on October 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CROSSROADS GROUP HOME” is a dba name, the actual legal business name for this organization is CROSSROADS AT MOUNTAIN MEADOWS, INC.. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CROSSROADS GROUP HOME below.

NPI Profile for
CROSSROADS AT MOUNTAIN MEADOWS, INC.

NPI Number
1366527335
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CROSSROADS AT MOUNTAIN MEADOWS, INC.
Doing Business As (dba): CROSSROADS GROUP HOME
Primary location
9528 OLD WHITE HORSE RD
GREENVILLE, SC 29617-6914
Phone: (864) 246-0266 Fax: (864) 246-0652
Mailing address
PO BOX 14939
GREENVILLE, SC 29610-4939
Phone: (864) 246-0266 Fax: (864) 246-0652
Organization Subpart
No
Authorized Official
LORRAINE TURNER
CEO
Phone: (864) 246-0266
Updated
Identifiers

Identifiers for CROSSROADS GROUP HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC951MXH
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
SC SR-0008165001-CCI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.