HOME ON THE RANGE


Address: 16351 I94, Sentinel Butte, ND 58654-9500
Phone: 7018723745

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children ========= ND Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ND BS OF ND 06887-001 01
MT 320399 05
ND 050603 05
ND 1478591 05
ND 1454974 05

Other Data Sources

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

Office Location

Street Address 16351 I94
City SENTINEL BUTTE
State ND
Zip Code 58654-9500

Providers in the same location

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 Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City SENTINEL BUTTE
Zip Code 58654

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Dataset Information

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.

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