CCN: 111607 NPI: 1699715045 Organization

CROSSROADS HOSPICE OF ATLANTA, LLC

1957 LAKESIDE PKWY STE 500
TUCKER, GA 300845859

Contact Information

Phone 7702709898
Fax 7702709896
Enumeration Date 2006-06-07
Last Updated 2022-11-14

Taxonomies

Code: 207QH0002X
Code: 251G00000X (Primary) License State: GA License: 0200515330

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 50175

providerType 35

censusDivision 3

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 01