RITE OF PASSAGE, INC. (NPI# 1073993002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073993002 |
| Entity Type | Organization |
| Organization Name | RITE OF PASSAGE, INC. |
| Other Organization Name | DEPAUL ACADEMY |
| Practice Address |
1000 S Michigan St South Bend IN 46601-3426 |
| Mailing Address |
2560 Business Pkwy Suite A Minden NV 89423-8985 |
| Practice Telephone | 5743394419 |
| Mailing Telephone | 7752679411 |
| Mailing Fax Number | 7753922450 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | CAROLYN JENKINS-BOWER (CFO) |
| Authorized Official Telephone | 7752679411 |
| 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 |
| Other Name | Type Code |
|---|---|
| DePaul Academy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427307768 | Rite of Passage, Inc. | Community/Behavioral Health | 20061 E Rittenhouse Road, Suite A, Queen Creek, AZ 85142 | 2012-08-31 |
| 1619585197 | Rite of Passage, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5924 Us Highway 285, Morrison, CO 80465-9101 | 2020-07-21 |
| 1346766953 | Rite of Passage, Inc. | Clinic/Center | 20061 E Rittenhouse Rd, Queen Creek, AZ 85142-9715 | 2017-08-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | RITE OF PASSAGE, INC. | 2560 Business Parkway, Ste. A, Minden, NV 89423 |
| Colorado Business Entities | RITE OF PASSAGE, INC. | 1561 Hwy 395, Minden, NV 89423 |
| Street Address |
1000 S MICHIGAN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518111996 | Jacqueline Mary Quinn-tan | Psychologist | 1000 S Michigan St, South Bend, IN 46601-3426 | 2008-11-11 |
| 1487106159 | Ike Shipman | Counselor | 1000 S Michigan St, South Bend, IN 46601-3426 | 2016-10-28 |
| 1598145484 | William Bruinsma | Psychologist | 1000 S Michigan St, South Bend, IN 46601-3426 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
|---|---|---|---|---|
| 1366965485 | Riverbend Behavioral Health, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 701 N Niles Ave, South Bend, IN 46617-1923 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417227984 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 2301 Jefferson St, Gary, IN 46407-3043 | 2011-12-30 |
| 1811206493 | Shults-lewis Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 325 South 150 East, Valparaiso, IN 46383-7866 | 2010-09-30 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1730494360 | Resource Community Based Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1404 S State Ave, Indianapolis, IN 46203-2009 | 2010-08-06 |
| 1356671192 | Sequel Tsi of Indiana, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2426 S Parker Ln, Lexington, IN 47138-8561 | 2009-12-29 |
| 1578897773 | Open Arms Christian Ministries, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4516 W State Road 54, Bloomfield, IN 47424-5207 | 2009-09-22 |
| 1871749119 | Gibault, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6301 S Us Highway 41, Terre Haute, IN 47802-4771 | 2008-08-18 |
| 1528285897 | St. Joseph Home for Boys, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4007 S Sheffield Ave, Hammond, IN 46327-1242 | 2007-04-19 |
| 1144353715 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-03-13 |
| 1861587230 | Success Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 3455 West Vermont, Indianapolis, IN 46222 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.