LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC. (NPI# 1538203484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538203484 |
Entity Type | Organization |
Organization Name | LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC. |
Other Organization Name | NEW LIFE CHILDREN'S TREATMENT CENTER |
Practice Address |
650 Scarbourough Canyon Lake TX 78133-4529 |
Mailing Address |
8305 Cross Park Dr Austin TX 78754-5154 |
Practice Telephone | 8309644390 |
Practice Fax Number | 8309644391 |
Mailing Telephone | 5124591000 |
Mailing Fax Number | 5124526885 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2016-05-17 |
Authorized Official Name | MR. BOB SLOCUM (CEO/EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8309644390 |
Is Organization Subpart | Y |
Parent Organization Name | LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 145547902 | 05 |
Other Name | Type Code |
---|---|
New Life Children's Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
1528193018 | Lutheran Social Services of The South, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4601 N Interstate 35, Denton, TX 76207-3419 | 2007-02-23 |
1801942057 | Lutheran Social Services of The South, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 25752 Kingsland Blvd, Katy, TX 77494-2086 | 2007-01-27 |
1053468082 | Lutheran Social Services of The South, Inc. | Assisted Living Facility | 9812 Vinton Ave, Lubbock, TX 79424-6376 | 2007-01-04 |
1164579173 | Lutheran Social Services of The South, Inc. | Clinic/Center | 9640 Montwood Dr, El Paso, TX 79925-6032 | 2007-01-04 |
1376657742 | Lutheran Social Services of The South, Inc. | Skilled Nursing Facility | 1700 E Stone St, Brenham, TX 77833-5150 | 2006-08-19 |
1831489913 | Lutheran Social Services of The South, Inc. | Home Health | 9505 Northpointe Blvd, Spring, TX 77379-3799 | 2011-04-11 |
1538482211 | Lutheran Social Services of The South, Inc. | Home Health | 8305 Cross Park Dr, Austin, TX 78754-5154 | 2010-03-09 |
1508191479 | Lutheran Social Services of The South, Inc. | Counselor | 8305 Cross Park Dr, Austin, TX 78754-5154 | 2009-10-12 |
1952517260 | Lutheran Social Services of The South, Inc. | Assisted Living Facility | 1700 E Stone St, Brenham, TX 77833-5150 | 2007-05-15 |
Street Address |
650 SCARBOUROUGH |
City | CANYON LAKE |
State | TX |
Zip Code | 78133-4529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548887680 | Kimberley Dawn Wood | Counselor | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2020-07-05 |
1619511581 | Camille Mari Coffey | Counselor | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2019-11-04 |
1457823734 | Clinton R Gholson | Counselor | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2018-12-26 |
1184145468 | Delaney Paige Bloemke | Social Worker | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2017-06-27 |
1285154328 | Lorena L Peaslee | Counselor | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2017-06-20 |
1407394075 | Elizabeth Rose Aleman | Social Worker | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2017-02-03 |
1679016646 | Reanna Nicole Pena | Counselor | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2016-11-23 |
1902354657 | Martha Martinezl Chichil-zepeda | Residential Treatment Facility, Emotionally Disturbed Children | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2016-09-12 |
1235489949 | Claire Finch | Social Worker | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2012-09-11 |
1932418639 | Barbara Gadient | Counselor | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2010-09-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309571 | Amanda Mills | Registered Nurse | 1811 Montview, Canyon Lake, TX 78133 | 2020-09-01 |
1104301902 | Jannah Holley Vise | Acupuncturist | 190 Crazy Horse Trail, Canyon Lake, TX 78133 | 2018-09-27 |
1023480555 | Brookshire Brothers Inc | Pharmacy | 18275 Fm 306, Canyon Lake, TX 78133 | 2015-10-23 |
1154440873 | Jose P. Morin | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2007-03-28 |
1619059060 | Brandon Grimm D.c. P.a. | Chiropractor | 14812 South Access Road, Canyon Lake, TX 78133 | 2006-10-19 |
1649543455 | Jeffrey Quentin Harper | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133 | 2012-02-10 |
1225348048 | Hill Country Surgical Assistants | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2010-10-14 |
1376554253 | Don Coleman | Rehabilitation Practitioner | 111 Toye Blvd, Canyon Lake, TX 78133 | 2006-08-10 |
1063943041 | Windmill Wellness Ranch LLC | Substance Abuse Rehabilitation Facility | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2017-03-22 |
1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
Find all providers in zip 78133 |
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 |
---|---|---|---|---|
1902354657 | Martha Martinezl Chichil-zepeda | Residential Treatment Facility, Emotionally Disturbed Children | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2016-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063030054 | Life's Purpose | Residential Treatment Facility, Emotionally Disturbed Children | 1211 Lark Ln, Richmond, TX 77469-7803 | 2020-07-07 |
1588293112 | Angelica Marie Griffin | Residential Treatment Facility, Emotionally Disturbed Children | 12500 Shadowglen Trace 3204, Manor, TX 78653 | 2020-04-06 |
1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
1083158943 | Pinnacle Hc LLC | Residential Treatment Facility, Emotionally Disturbed Children | 980 S Coit Rd, 1322, Prosper, TX 75078-2989 | 2016-12-12 |
1932558517 | The Eunice House, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1114 Watson Crossing Way, Houston, TX 77067-1627 | 2016-06-06 |
1033577119 | 2nd Chanze Organization | Residential Treatment Facility, Emotionally Disturbed Children | 27102 Breton Bridge Ct, Cypress, TX 77433-7552 | 2016-02-04 |
1780073452 | Oyin'da LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5551 Latta Plantation Dr, Katy, TX 77449-1557 | 2015-01-17 |
1376883322 | Angels With Open Arms | Residential Treatment Facility, Emotionally Disturbed Children | 6435 Tumbling Creek Trl, Dallas, TX 75241-5915 | 2013-02-27 |
1316201981 | Treathem, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2904 1st St, Bay City, TX 77414-6828 | 2012-06-28 |
1588939532 | Turning Point Children's Social Services | Residential Treatment Facility, Emotionally Disturbed Children | 2224 Spring Creek Dr, Spring, TX 77373-6138 | 2012-03-08 |
Find all providers with the same taxonomy |
City | CANYON LAKE |
Zip Code | 78133 |
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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.