CROSSROAD CHILD AND FAMILY SERVICES
NPI 1033599014
Community Based Residential Treatment Facility, Mental Illness in Fort Wayne, IN
NPI Status: Active since June 04, 2015
Contact Information
2525 LAKE AVE
FORT WAYNE, IN
ZIP 46805
Phone: (260) 484-4153
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 15D2026190
- CLIA Cert. Type: Other - LICENSED RESIDENTIAL FACI
- CLIA Exp. Date: 06-26-2027
About CROSSROAD CHILD AND FAMILY SERVICES
This page provides the complete NPI Profile along with additional information for Crossroad Child And Family Services, a provider established in Fort Wayne, Indiana operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1033599014 assigned on June 2015. The practitioner's primary taxonomy code is 320800000X with license number 35001873A (IN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Ashlee Rager (Therapist)
- NPI
- 1033599014
- Provider Name
- CROSSROAD CHILD AND FAMILY SERVICES
- Entity Type
- Organization
- Location Address
- 2525 LAKE AVE FORT WAYNE, IN 46805
- Location Phone
- (260) 484-4153
- Mailing Address
- 2525 LAKE AVENUE FORT WAYNE, IN 46805
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2015
- Last Update Date
- 06-04-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- 35001873A
- License State
- IN
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2026190
- Facility Type
- Other - LICENSED RESIDENTIAL FACI
- Certificate Effective Date
- June 27, 2025
- Certificate Expiration Date
- June 26, 2027
- Laboratory Director
- DARLENE EVANS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crossroad Child And Family Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033599014, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033599014, enumerated as an "organization" on June 04, 2015.
The provider is located at 2525 LAKE AVE FORT WAYNE, IN 46805 and the phone number is (260) 484-4153.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
