CROSSROAD CHILD & FAMILY SERVICES, INC. – NPI #1699868893
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.

CROSSROAD CHILD & FAMILY SERVICES, INC. is a residential treatment facility located in FORT WAYNE, IN. NPPES has assigned the NPI number 1699868893 to CROSSROAD CHILD & FAMILY SERVICES, INC. on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 2 years ago on Feb 14, 2024. 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 CROSSROAD CHILD & FAMILY SERVICES, INC. below.

NPI Profile for
CROSSROAD CHILD & FAMILY SERVICES, INC.

NPI Number
1699868893
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
CROSSROAD CHILD & FAMILY SERVICES, INC.
Primary location
1825 BEACON STREET
FORT WAYNE, IN 46805
Phone: (260) 484-4153 Fax: (260) 484-2337
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID MULLINS
PRESIDENT/CEO
Phone: (260) 484-4153
Updated
Identifiers

Identifiers for CROSSROAD CHILD & FAMILY SERVICES, INC.

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
medicaidIN200295210
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)
IN 3001702900002
323P00000X
- Psychiatric Residential Treatment Facility
IN 3001702900002

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.