CHILDRENS LEARNING TEAM (NPI# 1750907374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750907374 |
Entity Type | Organization |
Organization Name | CHILDRENS LEARNING TEAM |
Practice Address |
3700 Kristi Lake Dr Apt D11 Jonesboro AR 72404-8373 |
Practice Telephone | 8702751954 |
Mailing Telephone | 8702751954 |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |
Authorized Official Name | VICTORIA WILLIAMS (OWNER/DEVELOPMENTAL THERAPIST) |
Authorized Official Telephone | 8702751954 |
Authorized Official Credential | DT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
3700 KRISTI LAKE DR APT D11 |
City | JONESBORO |
State | AR |
Zip Code | 72404-8373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
Find all providers in zip 72404 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427478890 | Fincare United, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9442 S Main St, Suite 109, Jonesboro, GA 30236-8710 | 2014-04-23 |
1801186945 | Laties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9618 Brown Rd, Jonesboro, GA 30238-5966 | 2011-04-11 |
1407159585 | Crown Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 891 Stormy Ln, Jonesboro, GA 30238-5984 | 2010-12-13 |
1235439068 | Residential Living, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7861 Collinswood Ct, Jonesboro, GA 30236-3399 | 2010-10-27 |
1962719427 | Guiding Hand Perssonal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8259 Valley Stream Dr, Jonesboro, GA 30236-3825 | 2010-09-04 |
1861905374 | Abc Healthcare of America, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6568a Tara Blvd, Jonesboro, GA 30236-1228 | 2017-11-07 |
1437449154 | Peaceful Harmony Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10649 Tara Village Way, Jonesboro, GA 30238-7963 | 2011-04-14 |
1134420516 | Community Care Home Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 659 Wilmont Dr, Jonesboro, GA 30238-4834 | 2010-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710508106 | Abe's Care of Arkansas Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24524 Irish Dr, Hensley, AR 72065-9129 | 2020-04-27 |
1891913885 | The Arkansas Center for Independence, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8149 Curtner, Newport, AR 72112-0785 | 2007-04-23 |
1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
1013146786 | Easter Seals Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3920 Woodland Heights Rd, Little Rock, AR 72212-2495 | 2009-07-02 |
1912964305 | Pathfinder, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2520 W Main St, Jacksonville, AR 72076-4214 | 2006-04-28 |
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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.