CULLUM HOUSE (NPI# 1821459041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821459041 |
| Entity Type | Organization |
| Organization Name | CULLUM HOUSE |
| Other Organization Name | ASCENSION HEALTH MINISTRY SERVICES |
| Practice Address |
208 Cullum Ave Richland WA 99352-4534 |
| Practice Telephone | 5099465918 |
| Mailing Telephone | 5099465918 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | AUGUSTINE GONZALES (RESIDENTIAL COUNSELOR) |
| Authorized Official Telephone | 5099465918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 602813818 | WA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Ascension Health Ministry Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710334719 | Cullum House | Community Based Residential Treatment Facility, Mental Illness | 208 Cullum Ave, Richland, WA 99352-4534 | 2016-05-19 |
| Street Address |
208 CULLUM AVE |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-4534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508405820 | Derek Scott Mcclelland | Counselor | 208 Cullum Ave, Richland, WA 99352 | 2020-01-03 |
| 1477114270 | Rosa E Garza | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2019-06-24 |
| 1891257408 | Rigoberto Garza | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2019-04-02 |
| 1407317597 | Esther Carmen Bermudez | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2019-03-29 |
| 1639646300 | Eva Karina Guizar | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2018-10-30 |
| 1922573690 | Karina Caro | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2018-10-09 |
| 1154896140 | Sydney Yvonne Smith | Counselor | 208 Cullum Ave, Richland, WA 99352 | 2018-10-05 |
| 1982198180 | Erika L Lopez | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2018-06-20 |
| 1750895710 | Maxwell James Bartholomew | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2017-11-28 |
| 1619492584 | Kaylin Hampton | Counselor | 208 Cullum Ave, Richland, WA 99352-4534 | 2017-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295288819 | Lourdes Health Network | Community Based Residential Treatment Facility, Mental Illness | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2016-08-01 |
| 1710334719 | Cullum House | Community Based Residential Treatment Facility, Mental Illness | 208 Cullum Ave, Richland, WA 99352-4534 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1891242913 | Amanda Wager | Community Based Residential Treatment Facility, Mental Illness | 204 Ne 94th Street, Seattle, WA 98115-2727 | 2016-09-07 |
| 1801240361 | Alyssia Lucas | Community Based Residential Treatment Facility, Mental Illness | 6510 Cady Rd, Everett, WA 98203-4520 | 2016-04-20 |
| 1720470057 | Metropolitan Development Council | Community Based Residential Treatment Facility, Mental Illness | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2015-02-24 |
| 1083035547 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 201 S 2nd Ave, Yakima, WA 98902 | 2013-12-30 |
| 1801224803 | The Clearing, Spc | Community Based Residential Treatment Facility, Mental Illness | 2687 W Valley Rd, Friday Harbor, WA 98250-8164 | 2013-10-29 |
| 1952532996 | Behavioral Health Resources | Community Based Residential Treatment Facility, Mental Illness | 1275 S 2nd Ave Sw, Tumwater, WA 98512-6976 | 2009-08-06 |
| 1447481858 | Elahan Place | Community Based Residential Treatment Facility, Mental Illness | 7415 Ne 94th Ave, Vancouver, WA 98662-3859 | 2009-08-03 |
| 1689812968 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 504 S 3rd Ave, Yakima, WA 98902 | 2009-01-26 |
| 1730302811 | On Good Hands Afh LLC | Community Based Residential Treatment Facility, Mental Illness | 508 172nd Pl Ne, Bellevue, WA 98008-4127 | 2007-04-10 |
| 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.