Crossroads Hospice of Dayton, LLC – Community Based Hospice Care Agency, NPI 1679741128
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Crossroads Hospice of Dayton, LLC
8069 WASHINGTON VILLAGE DRIVE
DAYTON, OH 45458
Phone: (937) 312-3170
Fax: (937) 439-5903
Type: Location
East 45th Street, Stone Creek Farms, Tulsa, Tulsa County, Oklahoma, 74314, United States
TULSA, OK 741463816
Phone: (918) 627-6846
Fax: (918) 627-6856
Type: Mailing
8069 WASHINGTON VILLAGE DR
DAYTON, OH 454581847
Phone: (937) 312-3170
Fax: (937) 439-5903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (799 days ago).
Enrollment records
2
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080822000068 | O | Hospice | OH | 2024-09-30 |
| O20120816000398 | O | Clinic/Group Practice | OH | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45458)
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