CHILDRENS HOME FOR LIFE FOUNDATION (NPI# 1023450905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023450905 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOME FOR LIFE FOUNDATION |
| Other Organization Name | H4L RANCH |
| Practice Address |
644 County Road 912 Brookland AR 72417-8658 |
| Practice Telephone | 8705309061 |
| Mailing Telephone | 8705309061 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | MISS AMBER MICHELLE STOUT (SECRETARY/ TREASURER) |
| Authorized Official Telephone | 8705309061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | AR | Agencies |
| Other Name | Type Code |
|---|---|
| H4L Ranch | Doing Business As Name - Organization |
| Street Address |
644 COUNTY ROAD 912 |
| City | BROOKLAND |
| State | AR |
| Zip Code | 72417-8658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235680711 | H4l Ranch, Inc | Case Manager/Care Coordinator | 644 County Road 912, Brookland, AR 72417-8658 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760948244 | Keh Dental Pllc | Clinic/Center | 8471 Hwy 49 N, Brookland, AR 72417 | 2019-02-20 |
| 1316435548 | Adam Joseph Moon | Clinic/Center | 300 E Matthews St, Brookland, AR 72417 | 2018-04-24 |
| 1588184121 | 1st Choice Home Care, Inc. | Registered Nurse | 2164 County Road 762, Brookland, AR 72417 | 2017-06-25 |
| 1245442771 | Kimberly Dawn Shelby | Speech-Language Pathologist | 105 N Oak St, Brookland, AR 72417 | 2007-05-04 |
| 1013086487 | Brookland Pharmacy Inc | Pharmacist | 103 West Smith, Brookland, TX 72417 | 2006-11-07 |
| 1215971338 | Sandra Carole Stubblefield | Family Medicine | 8170 Us Highway 49n, Brookland, AR 72417 | 2006-06-16 |
| 1417947672 | William Scott Stubblefield | Family Medicine | 102 West Smith, Brookland, AR 72417 | 2005-10-27 |
| 1851858773 | Jessica M Womble | Nurse Practitioner | 8170 Us Highway 49n, Brookland, AR 72417 | 2019-02-27 |
| 1194291336 | Natalie N Martin | Nurse Practitioner | 8170 Us Highway 49n, Brookland, AR 72417 | 2018-10-15 |
| 1740572387 | Meghan Lindsay Lyerly | Family Medicine | 8170 Us Highway 49n, Brookland, AR 72417 | 2011-05-13 |
| Find all providers in zip 72417 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
| 1801447990 | Abc Children's Academy - Clarksville Site 3 | Day Training, Developmentally Disabled Services | 105 Cherokee Ln, Clarksville, AR 72830-8014 | 2019-09-20 |
| 1679127443 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 308 E 11th St, Russellville, AR 72801-6156 | 2019-07-30 |
| 1780238550 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 110 Library Rd, Dover, AR 72837 | 2019-07-30 |
| 1134685290 | Outcomes Incorporated | Day Training, Developmentally Disabled Services | 4501 S Thompson St, Springdale, AR 72764-7464 | 2019-02-13 |
| 1154772143 | Abc Children's Academy & Developmental Center-clarksville | Day Training, Developmentally Disabled Services | 108 Cherokee Ln, Clarksville, AR 72830-8014 | 2016-06-30 |
| 1851765143 | Kidspot Plus | Day Training, Developmentally Disabled Services | 1823 Grant Ave Ste F, Jonesboro, AR 72401-6148 | 2015-11-24 |
| 1609270057 | Abc Children's Academy & Developmental Center Dover | Day Training, Developmentally Disabled Services | 105 Library Rd, Dover, AR 72837-9005 | 2014-10-14 |
| 1790197473 | Kina Burruss | Day Training, Developmentally Disabled Services | 1501 Dogwood Trl, Malvern, AR 72104-4513 | 2014-05-29 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
| 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.