JUDGE JAMES V RIDDEL BOYS RANCH (NPI# 1639225667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639225667 |
| Entity Type | Organization |
| Organization Name | JUDGE JAMES V RIDDEL BOYS RANCH |
| Practice Address |
25331 W 39th St S Goddard KS 67052-9244 |
| Mailing Address |
700 S Hydraulic St Wichita KS 67211-2704 |
| Practice Telephone | 3166601600 |
| Practice Fax Number | 3167942061 |
| Mailing Fax Number | 3166601670 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK MASTERSON (DIRECTOR OF CORRECTIONS) |
| Authorized Official Telephone | 3166609750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 0003181-001 | KS | Residential Treatment Facilities |
| Street Address |
25331 W 39TH ST S |
| City | GODDARD |
| State | KS |
| Zip Code | 67052-9244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232009 | Kimberly Dawn Presley | Counselor | 2517 E Casey Dr, Goddard, KS 67052 | 2019-02-22 |
| 1689103962 | Kimberley E Rowan | Social Worker | 125 Brazos, Goddard, KS 67052 | 2017-06-08 |
| 1649676800 | Kori Michelle Turney | Occupational Therapist | 1055 N. 199th St W, Goddard, KS 67052 | 2014-11-14 |
| 1326461575 | Midwest Building Suppy, Inc | Durable Medical Equipment & Medical Supplies | 201 E. 6th St. Cr., Goddard, KS 67052 | 2014-01-23 |
| 1518092022 | Jamie J. Arnold | Chiropractor | 228 N. Main St, Goddard, KS 67052 | 2007-02-23 |
| 1871690073 | Michael D Gordon Dd Pa | Optometrist | 701 N Goddard Road, Goddard, KS 67052 | 2006-09-20 |
| 1023079852 | Carolina M Soria | Family Medicine | 216 N Main, Goddard, KS 67052 | 2006-03-31 |
| 1841316619 | Preferred Medical Associates | Nurse Practitioner | 216 N Main, Goddard, KS 67052 | 2007-03-22 |
| 1215045463 | Stephen Joseph Arnold | Dentist | 204 N Main, Goddard, KS 67052 | 2006-08-28 |
| 1720124647 | Sedgwick County Area Ed Serv 618 | Local Education Agency (LEA) | 620 Industrial Rd, Goddard, KS 67052-7009 | 2007-01-29 |
| Find all providers in zip 67052 | ||||
| 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 |
|---|---|---|---|---|
| 1710172473 | Sequel of Kansas, LLC | Psychiatric Residential Treatment Facility | 2050 W. 11th St N, Wichita, KS 67203 | 2007-09-06 |
| 1013137397 | Lemon Tree Enterprises, LLC | Psychiatric Residential Treatment Facility | 2050 W 11th St N, Wichita, KS 67203 | 2007-04-27 |
| 1992828362 | The Sweet Life At Shawnee | Psychiatric Residential Treatment Facility | 11400 W 65th St, Shawnee, KS 66203-5555 | 2007-04-09 |
| 1174598395 | Lemontree Enterprises, LLC Dba Liberty Juvenile Services & Treatment | Psychiatric Residential Treatment Facility | 2050 W 11th Street N, Wichita, KS 67203 | 2006-02-21 |
| 1225379324 | Riverside Academy | Psychiatric Residential Treatment Facility | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-14 |
| 1992060347 | Lakemary Center | Psychiatric Residential Treatment Facility | 100 Lakemary Dr, Paola, KS 66071-1855 | 2012-07-11 |
| 1871899559 | Marillac | Psychiatric Residential Treatment Facility | 8000 W 127th St, Overland Park, KS 66213-2714 | 2011-01-28 |
| 1316269368 | Kvc Wheatland Psychiatric Hospital | Psychiatric Residential Treatment Facility | 205 E 7th St, Hays, KS 67601-4907 | 2010-02-18 |
| 1922252071 | Kvc Hospitals Inc | Psychiatric Residential Treatment Facility | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-11-14 |
| 1306017082 | Amber Giron | Psychiatric Residential Treatment Facility | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2008-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUDGE JAMES V RIDDEL BOYS RANCH.
| 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.