Healthcare Provider Details

I. General information

NPI: 1881512002
Provider Name (Legal Business Name): CROSS ROADS OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7468 SAUTERNE CT
INDIANAPOLIS IN
46278-1646
US

IV. Provider business mailing address

7468 SAUTERNE CT
INDIANAPOLIS IN
46278-1646
US

V. Phone/Fax

Practice location:
  • Phone: 317-719-0175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: SHANTE PATTERSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 317-719-0175