RITE OF PASSAGE, ATCS (NPI# 1164852877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164852877 |
| Entity Type | Organization |
| Organization Name | RITE OF PASSAGE, ATCS |
| Practice Address |
2560 Business Pkwy Suite B Minden NV 89423-8985 |
| Practice Telephone | 7753922657 |
| Practice Fax Number | 7753922455 |
| Mailing Telephone | 7753922657 |
| Mailing Fax Number | 7753922455 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | KRISTINA CRANDELL (LEAD A/R CLERK) |
| Authorized Official Telephone | 7753922657 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391467 | Rite of Passage, Atcs | Clinic/Center | 1691 Gramercy Ave, Torrance, CA 90501-3236 | 2018-10-01 |
| 1861977555 | Rite of Passage, Atcs | Clinic/Center | 118 Livingston Ave, Placentia, CA 92870-2546 | 2018-09-27 |
| 1679103006 | Rite of Passage, Atcs | Clinic/Center | 537 W 8th St, San Pedro, CA 90731-3119 | 2020-01-24 |
| 1699250332 | Rite of Passage, Atcs | Clinic/Center | 714 Morse Ave, Placentia, CA 92870-3504 | 2018-09-28 |
| Street Address |
2560 BUSINESS PKWY SUITE B |
| City | MINDEN |
| State | NV |
| Zip Code | 89423-8985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932480753 | Sarah Wooten | Rehabilitation Practitioner | 2560 Business Pkwy, Suite B, Minden, NV 89423-8985 | 2011-09-07 |
| 1629627351 | Tracy Edwards | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2019-09-05 |
| 1720636095 | Leila Yenina Gail | Counselor | 2560 Business Pkwy, Minden, NV 89423-8985 | 2019-08-29 |
| 1063893113 | John Harris | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2015-06-15 |
| 1184001471 | Mark Avery | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2015-05-06 |
| 1003214115 | Bailey Hill | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2014-12-05 |
| 1700281169 | Kevin Brady | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2014-10-28 |
| 1225433683 | John Mosby IIi | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2014-10-28 |
| 1881001865 | Joshua Lepley | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2014-07-22 |
| 1184031296 | Jonathan Kluever | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
| 1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
| 1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
| 1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
| 1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
| 1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
| 1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
| 1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
| 1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
| 1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
| Find all providers in zip 89423 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174766612 | Carol Ellen Harrison | Residential Treatment Facility, Emotionally Disturbed Children | 1700 Buckthorn Ct, Minden, NV 89423-4127 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282786 | Avenues 2 Success | Residential Treatment Facility, Emotionally Disturbed Children | 9520 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2018-04-17 |
| 1215305818 | Levada House LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3905 Clear Acre Ln Apt 27, Reno, NV 89512-1283 | 2015-09-13 |
| 1639423064 | Sunny Day Home Health | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Sagebrush Ranch Way, N Las Vegas, NV 89081-6718 | 2012-11-07 |
| 1093030017 | Unepected Changes | Residential Treatment Facility, Emotionally Disturbed Children | 428 Marion Dr, Las Vegas, NV 89110-3473 | 2010-04-01 |
| 1245567486 | Luvin' Kare Transitional Services | Residential Treatment Facility, Emotionally Disturbed Children | 217 Delighted Ave, North Las Vegas, NV 89031-1395 | 2009-11-09 |
| 1679703805 | Horizon Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | Hc 70 Box 531, Amargosa Valley, NV 89020-9600 | 2009-07-22 |
| 1700046372 | London Family and Children's Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2026 Silverton Dr, Henderson, NV 89074-1550 | 2008-06-16 |
| 1588821938 | Focal Point Academy | Residential Treatment Facility, Emotionally Disturbed Children | 560 W Mesquite Blvd, Mesquite, NV 89027-5137 | 2008-05-21 |
| 1306024773 | Father Flanagans Boys' Town | Residential Treatment Facility, Emotionally Disturbed Children | 8090 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
| 1215115688 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8110 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
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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.