Healthcare Provider Details

I. General information

NPI: 1053451179
Provider Name (Legal Business Name): THE CROSS ROAD REST AND RETIREMENT CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 OLD COX RD
ASHEBORO NC
27205-9466
US

IV. Provider business mailing address

1302 OLD COX RD
ASHEBORO NC
27205-9466
US

V. Phone/Fax

Practice location:
  • Phone: 336-629-7811
  • Fax: 336-629-6264
Mailing address:
  • Phone: 336-629-7811
  • Fax: 336-629-6264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberREGISTRATION
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License NumberHAL-076-003
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberHAL-076-003
License Number StateNC

VIII. Authorized Official

Name: MR. STEPHEN LEE RUMBLEY
Title or Position: ADMINISTRATOR EXECUTIVE DIRECTOR
Credential:
Phone: 336-629-7811