Provider Demographics
NPI:1073665030
Name:XDS INC.
Entity Type:Organization
Organization Name:XDS INC.
Other - Org Name:CROSS DISABILITY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHADEVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-490-5503
Mailing Address - Street 1:PO BOX 5070
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5001
Mailing Address - Country:US
Mailing Address - Phone:919-490-5503
Mailing Address - Fax:919-490-2006
Practice Address - Street 1:263 PENNY LN
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-4918
Practice Address - Country:US
Practice Address - Phone:919-490-5503
Practice Address - Fax:919-490-2006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300582Medicaid
NC2347366Medicare PIN