UNITED METHODIST CHILDREN'S HOME (NPI# 1174763536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174763536 |
| Entity Type | Organization |
| Organization Name | UNITED METHODIST CHILDREN'S HOME |
| Other Organization Name | MAGALE MANOR |
| Practice Address |
1600 Aldersgate Rd Suite 200 Little Rock AR 72205-6614 |
| Mailing Address |
211 Pecan Ave Magnolia AR 71753-2775 |
| Practice Telephone | 5016610720 |
| Practice Fax Number | 5013257938 |
| Mailing Telephone | 5016610720 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |
| Authorized Official Name | CRAIG GAMMON (ADMINISTRATOR) |
| Authorized Official Telephone | 5016610720 |
| 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 |
| Other Name | Type Code |
|---|---|
| Magale Manor | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760597215 | United Methodist Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Broad St, Selma, AL 36701-4102 | 2006-08-21 |
| 1093117541 | United Methodist Children's Home | Community/Behavioral Health | 1033 High St, Worthington, OH 43085-4026 | 2014-09-16 |
| 1164851135 | United Methodist Children's Home | Behavioral Analyst | 410 River St, Benton, AR 72015-4206 | 2013-11-11 |
| 1326286386 | United Methodist Children's Home | Substance Abuse Rehabilitation Facility | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2009-01-29 |
| Street Address |
1600 ALDERSGATE RD SUITE 200 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154432441 | Carrie Elam | Counselor | 1600 Aldersgate Rd, Suite 200, Little Rock, AR 72205-6614 | 2006-08-31 |
| 1790140978 | Shawnaa Flanigan | Behavioral Analyst | 1600 Aldersgate Rd, Suite 200, Little Rock, AR 72205-6676 | 2015-12-15 |
| 1710352372 | Cameron Lee Woods | Behavioral Analyst | 1600 Aldersgate Rd, Suite 200, Little Rock, AR 72205-6676 | 2015-12-08 |
| 1740652429 | Jessica Swartz | Counselor | 1600 Aldersgate Rd, Little Rock, AR 72205-6676 | 2015-10-21 |
| 1992175673 | Robert Benjamin Thomas | Behavioral Analyst | 1600 Aldersgate Rd, Little Rock, AR 72205-6676 | 2015-10-07 |
| 1912377987 | William Harden | Behavioral Analyst | 1600 Aldersgate Rd, Little Rock, AR 72205-6676 | 2015-10-02 |
| 1346644721 | Chelsey Hodge Koppersmith | Counselor | 1600 Aldersgate Rd, Little Rock, AR 72205-6676 | 2014-10-14 |
| 1205237112 | Megan Mcferron | Behavioral Analyst | 1600 Aldersgate Rd, Little Rock, AR 72205-6676 | 2014-09-10 |
| 1740696699 | Rashad Moss | Behavioral Analyst | 1600 Aldersgate Rd, Little Rock, AR 72205-6676 | 2014-07-10 |
| 1215283718 | Tracee Paulson | Social Worker | 1600 Aldersgate Rd, Little Rock, AR 72205-6676 | 2012-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| 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 |
|---|---|---|---|---|
| 1326232240 | Youth Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 5109 W 23rd St, Little Rock, AR 72204-5101 | 2007-09-04 |
| 1326116518 | United Methodist Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2006-12-04 |
| 1437517844 | David Zajac | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-02-01 |
| 1104282235 | Cedric Mayo | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-01-05 |
| 1477928984 | Kelanda Williams | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| 1508231085 | Derwin Clark | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| 1932574431 | Felicia Reynolds-johnson | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| 1134397276 | Centers for Youth and Families, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 6501 W 12th St, Little Rock, AR 72204-1511 | 2008-02-12 |
| 1649458514 | Centers for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 6501 W 12th St, Little Rock, AR 72204-1511 | 2008-02-04 |
| 1891901955 | Youth Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2007-05-15 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.