Healthcare Provider Details

I. General information

NPI: 1992613152
Provider Name (Legal Business Name): CROSSROADS MOBILITY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5690 N WATER TOWER RD
BRUCEVILLE IN
47516-6034
US

IV. Provider business mailing address

5690 N WATER TOWER RD
BRUCEVILLE IN
47516-6034
US

V. Phone/Fax

Practice location:
  • Phone: 618-928-1969
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA PINNICK
Title or Position: OWNER
Credential:
Phone: 618-928-1969