JOHN E HERMAN HOME AND TREATMENT FACILITY, LLC (NPI# 1720584337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720584337 |
Entity Type | Organization |
Organization Name | JOHN E HERMAN HOME AND TREATMENT FACILITY, LLC |
Practice Address |
351 14th Ave Sw Rochester MN 55902 |
Practice Telephone | 5074220480 |
Mailing Telephone | 5074220480 |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |
Authorized Official Name | MARK FRYE (PRESIDENT) |
Authorized Official Telephone | 5072557164 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
Street Address |
351 14TH AVE SW |
City | ROCHESTER |
State | MN |
Zip Code | 55902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
1811208424 | Grant Conrad Collins | Dentist | 1340 Salem Rd Sw, Rochester, MN 55902 | 2010-06-29 |
Find all providers in zip 55902 |
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 |
1619233459 | Arrowhead House | Psychiatric Residential Treatment Facility | 2217 South St, Duluth, MN 55812-2132 | 2012-04-05 |
1669544987 | Kidspeace Mesabi Academy Inc | Psychiatric Residential Treatment Facility | 200 Wanless Street, Buhl, MN 55713 | 2006-11-14 |
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 |
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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.