Organization · Type 2 NPI

Crossroads Hospice of Atlanta LLC

Community Based Hospice Care Agency · Tucker, GA

NPI number 1699715045 Active

Practice location

1957 Lakeside Pkwy Ste 500
Tucker, GA 30084-5859

Call (770) 270-9898 Map

Fax (770) 270-9896

Mailing address

10810 E 45th St, Suite 300
Tulsa, OK 74146-3818

Specialties and licenses

Taxonomy	Code	License
Hospice and Palliative Medicine (Family Medicine) Physician	207QH0002X	None listed
Community Based Hospice Care Agency Primary	251G00000X	0200515330 (GA)

Community Based Hospice Care Agency: Definition to come...

Another provider at this address

Bessie Martin-JacksonFamily Nurse Practitioner Tucker, GA NPI 1881129807

Other community based hospice care agency providers in Tucker

See all in Tucker →

NPI record

NPI: 1699715045
Entity type: Organization (Type 2)
Issued: Jun 7, 2006
Last updated: Nov 14, 2022
Status: Active
Subpart: Yes of Carrefour Associates, LLC

Other names

<unavail>
Crossroads Hospice of Atlanta, LLC · doing business as
Crossroads Hospice of Atlanta, LLC · doing business as
Crossroads Hospice and Palliative Care · other name

Authorized official

Clayton Lee Farmer
CFO/coo
(918) 627-6846

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699715045

Crossroads Hospice of Atlanta LLC's National Provider Identifier is 1699715045, issued on Jun 7, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Tucker, GA. The record was last updated on Nov 14, 2022.