KIDZ ARK, INC. (NPI# 1467573220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467573220 |
| Entity Type | Organization |
| Organization Name | KIDZ ARK, INC. |
| Practice Address |
17282 County Road 32 Sterling CO 80751-9420 |
| Mailing Address |
Po Box 1725 Sterling CO 80751-1725 |
| Practice Telephone | 9705225775 |
| Practice Fax Number | 9705225983 |
| Mailing Telephone | 9705225775 |
| Mailing Fax Number | 9705225983 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANA WELSH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9705225775 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 34340 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 93803567 | 05 | |
| CO | 81675356 | 05 |
| Street Address |
17282 COUNTY ROAD 32 |
| City | STERLING |
| State | CO |
| Zip Code | 80751-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649573031 | Kari L Engelman | Counselor | 17282 County Road 32, Sterling, CO 80751-9420 | 2010-12-07 |
| 1750402392 | Jay Littlefield | Counselor | 17282 County Road 32, Sterling, CO 80751-9420 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| 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 |
|---|---|---|---|---|
| 1831722933 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 65 Diamond E Rd, Fountain, CO 80817-3325 | 2020-02-17 |
| 1902439003 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 2810 Hunters Glen Rd, Monument, CO 80132-9704 | 2020-02-17 |
| 1306479407 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 3101 Palmer Park Blvd, Colorado Springs, CO 80909-3120 | 2020-02-17 |
| 1689206401 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 2129 N Nevada Ave, Colorado Springs, CO 80907-6916 | 2020-02-10 |
| 1164998506 | Kokua Co LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5401 W 9th St, Greeley, CO 80634-4431 | 2018-10-23 |
| 1851824213 | Rite of Passage, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1590 12th St, Alamosa, CO 81101-3701 | 2017-04-04 |
| 1962935379 | Rite of Passage Inc | Residential Treatment Facility, Emotionally Disturbed Children | 8810 Highway 103, Idaho Springs, CO 80452-9623 | 2017-04-04 |
| 1801349105 | Shiloh Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 9700 E Easter Lane, Centennial, CO 80112 | 2016-08-03 |
| 1588971204 | Shiloh Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8461 Delaware St, Thornton, CO 80260-4821 | 2010-09-01 |
| 1225263593 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd, Lowry Sprout, Denver, CO 80230-6935 | 2009-05-15 |
| Find all providers with the same taxonomy | ||||
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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.