KAIROS YOUTH SERVICES, INC. (NPI# 1144356791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144356791 |
| Entity Type | Organization |
| Organization Name | KAIROS YOUTH SERVICES, INC. |
| Practice Address |
4513 7th Ave N Great Falls MT 59405-1124 |
| Mailing Address |
Po Box 3066 Great Falls MT 59403-3066 |
| Practice Telephone | 4067717774 |
| Practice Fax Number | 4064528382 |
| Mailing Telephone | 4067270076 |
| Mailing Fax Number | 4064528382 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES PATRICK CORRIGAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4067270076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 320359 | 05 | |
| MT | 500446 | 05 |
| Street Address |
4513 7TH AVE N |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700184017 | Cody Harvey | Counselor | 4513 7th Ave N, Kairos Youth Services, Great Falls, MT 59405-1124 | 2011-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710450044 | Center for Mental Health | Community Based Residential Treatment Facility, Mental Illness | 626 Central Ave W, Great Falls, MT 59404-2851 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215488325 | Ranch for Kids Project, Inc. | Community Based Residential Treatment Facility, Mental Illness | 144 Gateway Street, Rexford, MT 59930 | 2016-10-24 |
| 1811357767 | New Horizon's Youth Ranch | Community Based Residential Treatment Facility, Mental Illness | 6442 W Kootenai Rd, Rexford, MT 59930-9440 | 2016-03-03 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1124499660 | Gateway Freedom Ranch | Community Based Residential Treatment Facility, Mental Illness | 111 Glen Lake Dr, Eureka, MT 59917-9680 | 2015-10-09 |
| 1316337264 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 45 East 16th Street, Helena, MT 59601 | 2015-01-30 |
| 1568887404 | Selkirk Outdoor Leadership & Education (sole), Inc | Community Based Residential Treatment Facility, Mental Illness | 121 Wisconsin Ave Ste 101, Whitefish, MT 59937-2304 | 2014-03-02 |
| 1760734149 | Rae Ann Moxley | Community Based Residential Treatment Facility, Mental Illness | 459 Conifer Rd, Libby, MT 59923-2966 | 2012-10-09 |
| 1881973816 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 1273 Dakota St, Missoula, MT 59801-1709 | 2011-08-09 |
| 1518246552 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 412 Windward Way, Kalispell, MT 59901-2680 | 2011-08-09 |
| 1528363793 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 1404 Westwood Dr, Hamilton, MT 59840-2315 | 2011-01-20 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.