Crossroad - Fort Wayne Childrens Home in Fort Wayne - Residential Treatment Facility, Emotionally Disturbed Children
Crossroad - Fort Wayne Childrens Home - NPI 1699868893
Crossroad - Fort Wayne Childrens Home is a Residential Treatment Facility, Emotionally Disturbed Children in Fort Wayne, Indiana. Crossroad - Fort Wayne Childrens Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Crossroad - Fort Wayne Childrens Home is 1699868893. The last update date is 2020-08-22.
Crossroad - Fort Wayne Childrens Home's current location address is 2525 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604844153. The mailing address for Crossroad - Fort Wayne Childrens Home is 2525 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Crossroad - Fort Wayne Childrens Home |
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Address | 2525 Lake Ave, Fort Wayne, Indiana |
Phone Number | 2604844153 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO/PRESID |
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Authorized Official Name | Dollar Jc |
Telephone Number | 2604844153 |
NPI Number Detail
NPI Number | 1699868893 |
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Provider Enumeration Date | 2006-10-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2525 Lake Ave |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468055407 |
Phone Number | 2604844153 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | 300170290000 |
Definition: 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. |
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What is the unique 10-digit identification code issued to Crossroad - Fort Wayne Childrens Home by the Centers for Medicare & Medicaid Services?
The Crossroad - Fort Wayne Childrens Home has been assigned the NPI (National Provider Identifier) 1699868893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Crossroad - Fort Wayne Childrens Home's physical address?
The Crossroad - Fort Wayne Childrens Home is physically located at 2525 Lake Ave, in the city of Fort Wayne, IN, with the postal code 468055407.
What is Crossroad - Fort Wayne Childrens Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Crossroad - Fort Wayne Childrens Home is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699868893 to Crossroad - Fort Wayne Childrens Home?
The Crossroad - Fort Wayne Childrens Home received its 1699868893 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the details pertaining to Crossroad - Fort Wayne Childrens Home last refreshed?
The information related to the Crossroad - Fort Wayne Childrens Home, including its address, specialty, and other relevant details, was last updated on 2020-08-22.