FLORENCE CRITTENTON HOME (NPI# 1487936449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487936449 |
| Entity Type | Organization |
| Organization Name | FLORENCE CRITTENTON HOME |
| Practice Address |
519 W Fourth St Lexington KY 40508-1205 |
| Practice Telephone | 8592528636 |
| Practice Fax Number | 8592525546 |
| Mailing Telephone | 8592528636 |
| Mailing Fax Number | 8592525546 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | MS. JENNIFER CONNOR (THERAPIST/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8592528636 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 500066 | KY | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164606935 | Florence Crittenton Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2606 National Rd, Wheeling, WV 26003-5370 | 2007-12-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FLORENCE CRITTENTON HOME OF SIOUX CITY, IOWA | Po Box 295, 814 Pierce St. Suite 100, Sioux City, IA 51101 |
| System for Award Management (SAM) Entities | FLORENCE CRITTENTON HOMES AND SERVICES OF HELENA | 901 N Harris St, Helena, MT 59601-3000 |
| Street Address |
519 W FOURTH ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40508-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1831669720 | Lily Namegabe | Community Health Worker | 135 Newtown Pike Bldg 1, Lexington, KY 40508 | 2018-12-04 |
| 1669994091 | Shawn Luchtefeld | Counselor | 289 W Loudon Ave, Lexington, KY 40508 | 2017-07-07 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
| 1255753422 | Candace Cross | Social Worker | Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 | 2014-01-07 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1104119890 | Thomas Michael Isaacs | Pharmacist | 130 W. Loudon Ave, Lexington, KY 40508 | 2011-05-27 |
| 1174839401 | Gerardo Manuel Heredia Melero | Obstetrics & Gynecology | Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 | 2010-08-24 |
| 1558512814 | Cortney Youens Lee | Surgery | 125 E. Maxwell St, Suite 302, Lexington, KY 40508 | 2008-10-06 |
| Find all providers in zip 40508 | ||||
| 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 |
|---|---|---|---|---|
| 1356671192 | Sequel Tsi of Indiana, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2426 S Parker Ln, Lexington, IN 47138-8561 | 2009-12-29 |
| 1174675623 | A Greater Divine Place Inc | Residential Treatment Facility, Emotionally Disturbed Children | 366 Bremen Garden Dr, Lexington, NC 27295-6044 | 2007-01-17 |
| 1760719553 | Pelham Academy | Residential Treatment Facility, Emotionally Disturbed Children | 13 Pelham Rd, Lexington, MA 02421-5707 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295108553 | St Joseph Peace Mission for Children | Residential Treatment Facility, Emotionally Disturbed Children | 1328 W 3rd St, Owensboro, KY 42301-1901 | 2015-11-09 |
| 1346652476 | New Pathways for Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3311 Shaw Rd, Melber, KY 42069-8738 | 2014-05-23 |
| 1770927535 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 2495 Cranston Rd, Morehead, KY 40351 | 2013-04-24 |
| 1780027656 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 854 Tunnel Hill Church Road, Elizabethtown, KY 42701 | 2013-04-10 |
| 1285974352 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 330 Hope Street, Mt. Washington, KY 40047 | 2013-02-26 |
| 1851435705 | Bellewood Presbyterian Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 11103 Park Rd, Louisville, KY 40223-2424 | 2007-02-16 |
| 1912089863 | Home of The Innocents | Residential Treatment Facility, Emotionally Disturbed Children | 1100 E. Market St., Louisville, KY 40206 | 2006-10-19 |
| 1699710798 | Campbell Lodge Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 5161 Skyline Dr, Highland Heights, KY 41076-3545 | 2006-06-20 |
| 1821432394 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 1030 Commerce Dr, Elizabethtown, KY 42701 | 2013-04-26 |
| 1891038493 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 500 New Start Rd, Bronston, KY 42518 | 2013-04-02 |
| 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.