Crossroad - Fort Wayne Childrens Home in Fort Wayne - Psychiatric Residential Treatment Facility
Crossroad - Fort Wayne Childrens Home - NPI 1699868893
Crossroad - Fort Wayne Childrens Home is a Psychiatric Residential Treatment Facility in Fort Wayne, Indiana. Crossroad - Fort Wayne Childrens Home practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. 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 |
|---|---|
| Address | 2525 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604844153 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PRESID |
|---|---|
| Authorized Official Name | Dollar Jc |
| Telephone Number | 2604844153 |
NPI Number Detail
| NPI Number | 1699868893 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2525 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055407 |
| Phone Number | 2604844153 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 300170290000 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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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 Psychiatric Residential Treatment Facility, and the taxonomy code that classifies this field of practice is 323P00000X.
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.