HBS OF MERIDIAN, LLC (NPI# 1003397878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003397878 |
| Entity Type | Organization |
| Organization Name | HBS OF MERIDIAN, LLC |
| Other Organization Name | COTTONWOOD CREEK BEHAVIORAL HOSPITAL |
| Practice Address |
2131 S Bonito Way Meridian ID 83642-1659 |
| Mailing Address |
3102 West End Avenue Suite 1000 Nashville TN 37203-1324 |
| Practice Telephone | 2082024700 |
| Practice Fax Number | 2086291711 |
| Mailing Telephone | 6153938800 |
| Mailing Fax Number | 6153938844 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | JANIE R PICKLE (VP/SECRETARY) |
| Authorized Official Telephone | 6153938809 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAVEN BEHAVIORAL HEALTHCARE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1003397878 | 05 |
| Other Name | Type Code |
|---|---|
| Cottonwood Creek Behavioral Hospital | Doing Business As Name - Organization |
| Street Address |
2131 S BONITO WAY |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013986579 | Hampton Roads Medical Specialists PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2006-03-16 |
| 1578915898 | Rc Dobrowolski PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2016-07-11 |
| 1487066320 | Matthew Johansen | Counselor | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2014-05-27 |
| 1932523164 | Owens Medical Pllc | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2014-02-07 |
| 1447502323 | Darian Robbins | Occupational Therapy Assistant | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2012-10-03 |
| 1952652083 | Elizabeth Rebecca Stuhr | Physical Therapist | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2012-09-28 |
| 1942551114 | Conrad William Estrem | Speech-Language Pathologist | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2012-09-27 |
| 1427293521 | Boise Intensive Care Hospital Inc | Hospitalist | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2008-12-04 |
| 1477679496 | Stephen Lloyd Green | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679850150 | Alliance Health Center Inc. | Psychiatric Hospital | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2011-11-10 |
| 1225342173 | East Mississippi State Hospital | Psychiatric Hospital | 4555 Highland Park Drive, Meridian, MS 39307 | 2010-08-03 |
| 1649323254 | East Mississippi State Hospital | Psychiatric Hospital | 4555 Highland Park Dr, Meridian, MS 39307 | 2007-01-18 |
| 1043300825 | Lydia Ellis Weisser | Psychiatric Hospital | 1818 College Drive, Meridian, MS 39307-5429 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619360724 | Charolais Care Viii, Inc | Psychiatric Hospital | 650 Addison Ave W Ste 300b, Twin Falls, ID 83301-5851 | 2015-03-13 |
| 1710072046 | Helping Hands Sanctuary of Idaho | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341 | 2006-10-03 |
| 1275504896 | Beacon Health Services Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2006-01-31 |
| 1992789101 | State of Idaho Department of Health and Welfare | Psychiatric Hospital | 700 East Alice, Box 400, Blackfoot, ID 83221 | 2005-12-01 |
| 1437620358 | Lifeways, Inc | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2018-12-17 |
| 1770977787 | Concordia Health Care Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2015-03-27 |
| 1942643432 | Safe Haven Health Care Inc | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2013-04-15 |
| 1780937532 | Dustin Sharpe | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2012-10-17 |
| 1871800128 | Mountain View Center for Geriatric Psychiatry LLC | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341-1618 | 2010-09-08 |
| 1619208709 | Safe Haven Health Care LLC | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2010-01-29 |
| 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.