CROSSROAD TRANSITIONAL INC. - NPI 1245684216 - Substance Abuse Rehabilitation Facility in Northridge, CA

Q: What is Crossroad Transitional Inc.'s NPI number?

The NPI number for Crossroad Transitional Inc. is 1245684216. It was assigned to this organization in the NPPES registry on April 15, 2016.

Q: What is Crossroad Transitional Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Crossroad Transitional Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROAD TRANSITIONAL INC. (NPI 1245684216) is a healthcare organization registered as a substance abuse rehabilitation facility in Northridge, California and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Anthony N Hatam, President, as its authorized official.

NPPES Registry Identity

NPI1245684216

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameCROSSROAD TRANSITIONAL INC.

Location Address19646 BALLINGER STNorthridge, CA 91324-2103

Mailing Address19646 Ballinger StNorthridge, CA 91324-2103 · (818) 918-7223 · Fax (818) 280-5673

Phone(818) 918-7223

Fax(818) 280-5673

Organization SubpartNo

Authorized OfficialAnthony N HatamPresident · (818) 718-7223

Enumeration DateApril 15, 2016

Last NPPES UpdateApril 26, 2017

✔ NPI 1245684216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

19646 BALLINGER ST, Northridge, CA 91324

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2159910

Crossroad Transitional Inc · Northridge, CA

Active · expires Dec 30, 2026

CLIA Number05D2159910

Laboratory TypePublic Health Laboratories

Certificate Effective DateDecember 31, 2024

Certificate Expiration DateDecember 30, 2026

Laboratory DirectorFawsy Basta

Laboratory Phone(818) 918-7223

Laboratory LocationCrossroad Transitional Inc19646 Ballinger Street, Northridge, CA 91324

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroad Transitional Inc.'s NPI number?

The NPI number for Crossroad Transitional Inc. is 1245684216. It was assigned to this organization in the NPPES registry on April 15, 2016.

Where is Crossroad Transitional Inc. located?

Crossroad Transitional Inc. is located at 19646 Ballinger St, Northridge, CA 91324. The listed phone number is (818) 918-7223.

What is Crossroad Transitional Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Crossroad Transitional Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2159910) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossroad Transitional Inc. was last updated on April 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.