SPECTRUM CARE ACADEMY BLUEGRASS 2 (NPI# 1598234114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598234114 |
| Entity Type | Organization |
| Organization Name | SPECTRUM CARE ACADEMY BLUEGRASS 2 |
| Practice Address |
1175 Cane Valley Rd. Columbia KY 42728 |
| Mailing Address |
P.o. Box 911 Columbia KY 42728 |
| Practice Telephone | 2703846750 |
| Practice Fax Number | 2703849060 |
| Mailing Telephone | 2703846444 |
| Mailing Fax Number | 2703849060 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | BEN ARNOLD (PRESIDENT) |
| Authorized Official Telephone | 2703846444 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM CARE ACADEMY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 950041 | 05 |
| Street Address |
1175 CANE VALLEY RD. |
| City | COLUMBIA |
| State | KY |
| Zip Code | 42728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588176812 | Yuichi Kitagawa | Family Medicine | 803 Burksville St, Columbia, KY 42728 | 2017-10-26 |
| 1265983118 | Samantha Giles | Occupational Therapist | 700 Coy Trce, Columbia, KY 42728 | 2016-10-16 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1164812509 | Eric Henderson Coomer | Registered Nurse | 85 Downey Drive, Columbia, KY 42728 | 2015-01-23 |
| 1154742518 | Mckinsey C Matney | Speech-Language Pathologist | 638 Huntington Way, Columbia, KY 42728 | 2014-01-02 |
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| 1346412301 | Adair County Hospital District | Home Health | 904-b Westlake Drive, Columbia, KY 42728 | 2008-03-31 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| 1720115421 | Molly Joe Bradshaw | Nurse Practitioner | 197 Will Walker Road, Columbia, KY 42728 | 2007-02-28 |
| Find all providers in zip 42728 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689883381 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 4500 Campbellsville Rd, Columbia, KY 42728-9314 | 2007-05-21 |
| 1720527179 | Kansas City Vamc | Psychiatric Residential Treatment Facility | 800 Hospital Dr, Columbia, MO 65201-5275 | 2017-02-17 |
| 1477780757 | William Travis Edwards | Psychiatric Residential Treatment Facility | 2122 Circle Dr, Columbia, TN 38401-4430 | 2009-06-15 |
| 1477727824 | Centerstone | Psychiatric Residential Treatment Facility | 418 W 7th St, Columbia, TN 38401-3135 | 2008-04-16 |
| 1811107436 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 4500 Campbellsville Rd, Columbia, KY 42728-9314 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934315 | Children's Home of Northern Kentucky | Psychiatric Residential Treatment Facility | 200 Home Road, Covington, KY 41011-1942 | 2018-09-06 |
| 1740554864 | Uspiritus-brooklawn-steil | Psychiatric Residential Treatment Facility | 3100 Brooklawn Campus Dr, Louisville, KY 40218 | 2012-03-07 |
| 1730489113 | Maryhurst, Inc. | Psychiatric Residential Treatment Facility | 2115 Goldsmith Ln, Louisville, KY 40218-1206 | 2010-11-01 |
| 1558591669 | Uspiritus-brooklawn-susan's | Psychiatric Residential Treatment Facility | 2119 Goldsmith Ln, Louisville, KY 40218-1206 | 2009-07-23 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1467633107 | Sunrise Children's Services, Inc. | Psychiatric Residential Treatment Facility | 400 Cunningham Way, Danville, KY 40422 | 2007-11-23 |
| 1194936765 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 1390 Lick Fork Rd, London, KY 40741-9534 | 2007-05-25 |
| 1720298342 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 461 Fowler Ln, Elizabethtown, KY 42701-8546 | 2007-05-23 |
| 1639389257 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 6062 Jackson Hwy, Cave City, KY 42127-9379 | 2007-05-23 |
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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.