Provider Demographics
NPI:1194043802
Name:CROSSING PATHS, LLC
Entity Type:Organization
Organization Name:CROSSING PATHS, LLC
Other - Org Name:BELTONE CAROLINA VIRGINIA, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDEIROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-921-3320
Mailing Address - Street 1:931 JEFFERSON BLVD
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2234
Mailing Address - Country:US
Mailing Address - Phone:401-921-3320
Mailing Address - Fax:401-921-3327
Practice Address - Street 1:600 MATTHEWS MINT HILL RD
Practice Address - Street 2:STE E
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-1847
Practice Address - Country:US
Practice Address - Phone:704-814-7419
Practice Address - Fax:704-814-6908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1377332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment