CROSSROADS TREATMENT CENTER OF GREENVILLE, PC - NPI 1538601414

Q: What is Crossroads Treatment Center Of Greenville, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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About Crossroads Treatment Center Of Greenville, Pc NPPES

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

CROSSROADS TREATMENT CENTER OF GREENVILLE, PC (NPI 1538601414) is a healthcare organization registered as a rehabilitation, substance use disorder in Greenville, South Carolina and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Rupert J Mccormac, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1538601414

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCROSSROADS TREATMENT CENTER OF GREENVILLE, PC

Location Address157 BROZZINI CT, SUITE AGreenville, SC 29615-5340

Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-8511

Phone(864) 288-7978

Organization SubpartNo

Authorized OfficialRupert J MccormacChief Executive Officer · (800) 805-6989

Enumeration DateNovember 9, 2016

Last NPPES UpdateSeptember 3, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1538601414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

157 BROZZINI CT, Greenville, SC 29615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 42D1097894

Crossroads Treatment Center Of Greenville, PC · Greenville, SC

Active · expires Apr 6, 2027

CLIA Number42D1097894

Laboratory TypeMethadone Clinic

Certificate Effective DateApril 7, 2025

Certificate Expiration DateApril 6, 2027

Laboratory DirectorJames Stephen

Laboratory Phone(864) 288-7636

Laboratory LocationCrossroads Treatment Center Of Greenville, PC157 Brozzini Ct, Suite A, Greenville, SC 29615

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER J MAYER-KLEPCHICK

Community Health Worker