HOME ON THE RANGE (NPI# 1114059805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114059805 |
Entity Type | Organization |
Organization Name | HOME ON THE RANGE |
Practice Address |
16351 I94 Sentinel Butte ND 58654-9500 |
Practice Telephone | 7018723745 |
Practice Fax Number | 7018723748 |
Mailing Telephone | 7018723745 |
Mailing Fax Number | 7018723748 |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-02-11 |
Authorized Official Name | DIANE SZUDERA (BUSINESS ADMINISTRATION DIRECTOR) |
Authorized Official Telephone | 7018723745 |
Authorized Official Credential | A.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | ========= | ND | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | BS OF ND | 06887-001 | 01 |
MT | 320399 | 05 | |
ND | 050603 | 05 | |
ND | 1478591 | 05 | |
ND | 1454974 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | HOME ON THE RANGE APARTMENTS, LTD | |
Oregon Corporations, Companies and Business Names | HOME ON THE RANGE FIREARMS TRAINING SCHOOL LLC | 160 Se Washington Street Apt 413, Hillsboro, OR 97123 |
Colorado Business Entities | Home on the Range Home Improvement Services LLC | 1130 W Oak Street, Fort Collins, CO 80521 |
Colorado Business Entities | Home on the Range LLC | 6951 Hillpoint Place, Parker, CO 80134 |
System for Award Management (SAM) Entities | HOME ON THE RANGE MHP, LLC | 111 Sandra Muraida Way Unit 8k, Austin, TX 78703-4996 |
Colorado Business Entities | Home on the Range Pet and House Sitting, LLC | 8170 Hwy 9, Kremmling, CO 80459 |
Colorado Business Entities | Home on the Range Properties LLC | 4254 South Hampton Circle, Boulder, CO 80301 |
Colorado Business Entities | HOME ON THE RANGE REAL ESTATE, INC. | 254 Bergren Rd, Nederland, CO 80466 |
Colorado Business Entities | HOME ON THE RANGE REALTY, LLC | 14425 Timberedge Ln, Colorado Springs, CO 80921 |
Massachusetts Corporations | HOME ON THE RANGE RENTALS LLC | 35 Dean Road, Stoughton, MA 02072 |
Street Address |
16351 I94 |
City | SENTINEL BUTTE |
State | ND |
Zip Code | 58654-9500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245877810 | Elizabeth Drews | Social Worker | 16351 I94, Sentinel Butte, ND 58654-9500 | 2019-12-03 |
1851801781 | Brittany Williams | Social Worker | 16351 I94, Sentinel Butte, ND 58654-9500 | 2017-10-05 |
1841700770 | Morgan Williams | Social Worker | 16351 I94, Sentinel Butte, ND 58654-9500 | 2017-10-05 |
1730606286 | Kramer Kelly | Case Manager/Care Coordinator | 16351 I94, Sentinel Butte, ND 58654-9500 | 2017-08-25 |
1396297446 | Lynn R Peterson | Counselor | 16351 I94, Sentinel Butte, ND 58654-9500 | 2016-10-25 |
1790236925 | Robin Ferren | Social Worker | 16351 I94, Sentinel Butte, ND 58654-9500 | 2016-10-24 |
1639629231 | Claire Lawrance | Counselor | 16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 | 2016-10-06 |
1063883783 | Velvet Craigo | Case Manager/Care Coordinator | 16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 | 2015-10-08 |
1649687880 | Tara Losinski | Counselor | 16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 | 2014-07-21 |
1376968172 | Tina Jackson | Social Worker | 16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 | 2014-03-03 |
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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 |
---|---|---|---|---|
1306395538 | Serenity Christian Homes | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-09-29 |
1154405983 | Prairie Learning Center | Residential Treatment Facility, Emotionally Disturbed Children | 7785 Saint Gertrude Ave, Raleigh, ND 58564-4103 | 2006-10-25 |
1346351475 | Pride Manchester Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
1891808978 | Northeast Human Service Center | Residential Treatment Facility, Emotionally Disturbed Children | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2006-08-16 |
1346732773 | Serenity Christian Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-06-01 |
1568916989 | Pride Manchester Hope Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7301 Keepsake Ln, Bismarck, ND 58501-8664 | 2016-08-15 |
1225217300 | Harmony House | Residential Treatment Facility, Emotionally Disturbed Children | 1601 College Dr N, C/o Sports Center, Devils Lake, ND 58301-1550 | 2007-10-25 |
1750467999 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
1669558805 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
1386729176 | Dakota Boys & Girls Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-27 |
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City | SENTINEL BUTTE |
Zip Code | 58654 |
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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.