CATHEDRAL HOME FOR CHILDREN (NPI# 1033206289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033206289 |
| Entity Type | Organization |
| Organization Name | CATHEDRAL HOME FOR CHILDREN |
| Practice Address |
4989 N 3rd St Laramie WY 82072-9548 |
| Practice Telephone | 3077458997 |
| Practice Fax Number | 3077426146 |
| Mailing Telephone | 3077458997 |
| Mailing Fax Number | 3077426146 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MRS. NICOLE HAUSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3077458997 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026747700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003301904 | Cathedral Home for Children | Counselor | 4989 N 3rd St, Laramie, WY 82072-9548 | 2018-06-25 |
| 1356588727 | Cathedral Home for Children | Specialist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2009-01-07 |
| Street Address |
4989 N 3RD ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82072-9548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023100336 | Brooke Lynn Benson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2006-09-28 |
| 1952909301 | Matthew Mills | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1043818487 | Kristine Holt | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1386242733 | Jacob Brownell | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1619575073 | Callie Clingman | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1518565977 | Maxwell Prevost | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1255939609 | Austin Gifford | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1750989117 | Simon Lutz | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1558969030 | Gabrielle Despain | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-15 |
| 1619582251 | Haley Gladback | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
| 1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
| 1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
| 1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
| 1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
| 1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
| 1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
| 1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
| Find all providers in zip 82072 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285147819 | Uhs of Wyoming Inc | Psychiatric Residential Treatment Facility | 1514 E 12th St Ste C, Casper, WY 82601-7123 | 2017-11-06 |
| 1376773770 | Trinity Teen Solutions, Inc | Psychiatric Residential Treatment Facility | 112 Safe Haven Rd, Powell, WY 82435-8163 | 2009-07-20 |
| 1013448273 | Cheyenne Vamc | Psychiatric Residential Treatment Facility | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2017-03-21 |
| 1841481603 | Youth Crisis Center, Inc. | Psychiatric Residential Treatment Facility | 915 S Mckinley St, Casper, WY 82601-3440 | 2007-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.