KIDSPEACE MESABI ACADEMY INC (NPI# 1669544987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669544987 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE MESABI ACADEMY INC |
| Practice Address |
200 Wanless Street Buhl MN 55713 |
| Mailing Address |
4085 Independence Drive Schnecksville PA 18078 |
| Practice Telephone | 8882705013 |
| Practice Fax Number | 2182583807 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL) |
| Authorized Official Telephone | 8008543123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 10368991CRF | MN | Residential Treatment Facilities |
| Street Address |
200 WANLESS STREET |
| City | BUHL |
| State | MN |
| Zip Code | 55713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410844 | Kidspeace Mesabi Academy | Community/Behavioral Health | 200 Wanless Street, Buhl, MN 55713-0726 | 2016-03-24 |
| 1972907806 | Richard Joseph Heitke | Counselor | 200 Wanless Street, Buhl, MN 55713 | 2014-10-21 |
| 1669743639 | North Homes, Inc. Chemical Dependency Buhl | Community/Behavioral Health | 200 Wanless Street, Buhl, MN 55713 | 2012-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700245008 | Twin City Christian Homes Services Company | Home Health | 500 E. Monroe Drive, Buhl, MN 55713 | 2016-02-15 |
| 1457366239 | City of Buhl | Ambulance | 300 Jones Ave, Buhl, MN 55713 | 2006-07-30 |
| 1346393642 | Forest Health Services Inc. | Skilled Nursing Facility | 1000 Forest St, Buhl, MN 55713-0724 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229944 | Clayton Kline | Student in an Organized Health Care Education/Training Program | 881 E 3900 N, Buhl, ID 83316-5929 | 2020-06-15 |
| 1336608868 | Tdc Buhl Pllc | Dentist | 529 Broadway Ave South, Buhl, ID 83316 | 2019-03-14 |
| 1568950566 | North Canyon Medical Center, Inc. | Clinic/Center | 718 Hwy 30, Buhl, ID 83316 | 2018-04-25 |
| 1134665938 | Ryan Lafoy | Specialist/Technologist | 14322 Paul Mills Rd, Buhl, AL 35446-9290 | 2017-01-17 |
| 1417490053 | Loriann Jones | Midwife | 702 Highway 30, Buhl, ID 83316-5039 | 2016-11-30 |
| 1659728426 | Theresa Pollard | Massage Therapist | 4732 River Rd, Buhl, ID 83316-5103 | 2016-05-20 |
| 1366800583 | Nicholas Sander | Denturist | 124 11th Ave N, Buhl, ID 83316-1602 | 2016-02-02 |
| 1184017691 | Kathy Q. Woods | Counselor | 1157f E 4400 N, Buhl, ID 83316-5117 | 2015-03-07 |
| 1679908297 | Brandon Keith Smith | Pharmacist | 419 Boadway Ave S, Buhl, ID 83316 | 2013-09-13 |
| 1659647402 | Buhl Family Dental | Dentist | 529 Broadway Ave S, Buhl, ID 83316-1312 | 2012-03-27 |
| Find all providers in BUHL | ||||
| 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 |
|---|---|---|---|---|
| 1861046427 | Cambia Hills of East Bethel LLC | Psychiatric Residential Treatment Facility | 900 189th Ave Ne, East Bethel, MN 55011-9542 | 2019-07-31 |
| 1992268726 | North Homes Inc. | Psychiatric Residential Treatment Facility | 1920 River Rd, Grand Rapids, MN 55744-4048 | 2019-04-09 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1619233459 | Arrowhead House | Psychiatric Residential Treatment Facility | 2217 South St, Duluth, MN 55812-2132 | 2012-04-05 |
| 1073543344 | Rhsc | Psychiatric Residential Treatment Facility | 1491 Sherburne Ave, Saint Paul, MN 55104 | 2006-07-03 |
| 1154869832 | Direct Care and Treatment - Forensic Services | Psychiatric Residential Treatment Facility | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2017-02-02 |
| 1538603683 | Paragon Residential Treatment for Youth LLC | Psychiatric Residential Treatment Facility | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2016-12-08 |
| 1619375235 | Linda Maxine Nielson | Psychiatric Residential Treatment Facility | 1593 Hewitt Ave, Saint Paul, MN 55104-1221 | 2014-12-13 |
| 1730354549 | Minnesota Sex Offender Program | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-04-23 |
| 1639355902 | State of Minnesota | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-01-16 |
| 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.