THE UNITED METHODIST CHILDREN'S HOME (NPI# 1851546725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851546725 |
| Entity Type | Organization |
| Organization Name | THE UNITED METHODIST CHILDREN'S HOME |
| Other Organization Name | METHODIST CHILDREN'S HOME - RTC DACUS |
| Practice Address |
211 Church St Bono AR 72416-9578 |
| Mailing Address |
1600 Aldersgate Rd Suite 200 Little Rock AR 72205-6676 |
| Practice Telephone | 8709328880 |
| Practice Fax Number | 5013257938 |
| Mailing Telephone | 5016610720 |
| Mailing Fax Number | 5013257938 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | MR. LESLEY DON COLE (CFO) |
| Authorized Official Telephone | 5016610720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 171082125 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Children's Home - RTC Dacus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356593669 | The United Methodist Children's Home | Social Worker | 1600 Aldersgate Rd, Suite 200, Little Rock, AR 72205-6614 | 2008-10-17 |
| Street Address |
211 CHURCH ST |
| City | BONO |
| State | AR |
| Zip Code | 72416-9578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538617113 | Waynette Banks | Social Worker | 211 Church St, Bono, AR 72416-9578 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639562432 | Bradley Bibb Md Pllc | Family Medicine | 10144 Highway 63 N Ste B, Bono, AR 72416 | 2015-03-18 |
| 1912158619 | Medi-quick Walk-in Clinic, P.a. | Clinic/Center | 10144 Highway 63 North, Suite A, Bono, AR 72416 | 2008-10-01 |
| 1093873531 | Jocelyn Johnson | Occupational Therapist | 188 County Road 133, Bono, AR 72416 | 2006-12-05 |
| 1083046445 | Jennifer D Robins | Nurse Practitioner | 9146 Highway 63 N, Bono, AR 72416 | 2013-08-07 |
| 1265794564 | Heather Leann Glover | Nurse Practitioner | 9146 Highway 63 N, Bono, AR 72416 | 2012-06-12 |
| 1710110051 | Amy Johnson | Nurse Practitioner | 9146 Highway 63 N, Bono, AR 72416 | 2009-09-03 |
| 1922331545 | Zachary Tyler Norman | Occupational Therapist | 3898 County Road 318, Bono, AR 72416-7562 | 2009-09-14 |
| 1801101902 | Carepartners of Northeast Arkansas | In Home Supportive Care | 230 County Road 375, Bono, AR 72416-7661 | 2010-08-12 |
| 1184082273 | Shannon Pogue | Nurse Practitioner | 10144 Highway 63 N Ste A, Bono, AR 72416-7676 | 2016-02-03 |
| 1033317508 | Pediatric Therapy Works, LLC | Speech-Language Pathologist | 401 County Road 111, Bono, AR 72416-8116 | 2007-07-06 |
| Find all providers in zip 72416 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508259169 | Teen Challenge Ranch of Northwest Arkansas | Residential Treatment Facility, Emotionally Disturbed Children | 16818 Hale Mountain Rd, Morrow, AR 72749-9731 | 2015-03-06 |
| 1407089873 | Faribi Mache Hill | Residential Treatment Facility, Emotionally Disturbed Children | 21815 I 30, Bryant, AR 72022-8031 | 2009-09-01 |
| 1912136144 | New Life Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 50 4th St, Oil Trough, AR 72564 | 2009-07-09 |
| 1841448966 | Centers for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 936 Jordan Drive, Monticell, AR 71657 | 2008-09-03 |
| 1326232240 | Youth Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 5109 W 23rd St, Little Rock, AR 72204-5101 | 2007-09-04 |
| 1275739062 | Delta Family Health and Fitness Center for Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 815 E Saint Louis St, Hamburg, AR 71646-2766 | 2007-06-27 |
| 1326116518 | United Methodist Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2006-12-04 |
| 1568461887 | Ozark Guidance Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2400 S 48th St, Springdale, AR 72762-6683 | 2005-07-19 |
| 1437517844 | David Zajac | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-02-01 |
| 1104282235 | Cedric Mayo | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-01-05 |
| 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.