CHILDREN'S HOPE RESIDENTIAL SERVICES, INC. (NPI# 1174150684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174150684 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOPE RESIDENTIAL SERVICES, INC. |
| Other Organization Name | GRACE MANOR |
| Practice Address |
2402 Canyon Lake Dr Lubbock TX 79415-2000 |
| Practice Telephone | 8068979735 |
| Practice Fax Number | 8068944712 |
| Mailing Telephone | 8068979735 |
| Mailing Fax Number | 8068944712 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | JAMES ARTHER ALDRICH (CEO) |
| Authorized Official Telephone | 8068979735 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Grace Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562681 | Children's Hope Residential Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1313 W Washington St, Levelland, TX 79336-3921 | 2020-03-06 |
| 1902431315 | Children's Hope Residential Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1515 5th St, Levelland, TX 79336-3311 | 2020-03-05 |
| 1518372689 | Children's Hope Residential Services, Inc. | Psychiatric Hospital | 901 Avenue B, Brownwood, TX 76801-3313 | 2014-06-26 |
| 1447699673 | Children's Hope Residential Services, Inc. | Community/Behavioral Health | 1155 Westmoreland Dr, Suite 215, El Paso, TX 79925-5659 | 2013-06-20 |
| 1902164684 | Children's Hope Residential Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2012-05-01 |
| 1710086822 | Children's Hope Residential Services, Inc. | Counselor | 1313 W Washington St, Levelland, TX 79336-3921 | 2006-09-22 |
| Street Address |
2402 CANYON LAKE DR |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245474873 | Kelly Chisholm | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2009-04-27 |
| 1477038974 | Trudy Joy Frye | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2018-10-01 |
| 1770079592 | Stephanie Cherie Powell | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2018-07-04 |
| 1447629597 | Don Julian Lenau | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2015-09-18 |
| 1902164684 | Children's Hope Residential Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2012-05-01 |
| 1417263492 | Jodie Lynn Martin | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2010-08-27 |
| 1932333846 | Canyon Lakes Rtc | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245602994 | Stages of Recovery, Inc | Clinic/Center | 4413 71st St Ste G101, Lubbock, TX 79424-2319 | 2015-10-21 |
| 1356627624 | Aspire Addiction Recovery Center LLC | Clinic/Center | 3330 70th St Ste 120, Lubbock, TX 79413-6136 | 2011-10-31 |
| 1407134448 | Professional Home Detox | Clinic/Center | 8104 County Road 6500, Lubbock, TX 79416-9557 | 2011-07-25 |
| 1992708705 | Lubbock Regional Mhmr Center | Clinic/Center | 904 Avenue O, Lubbock, TX 79401-3924 | 2005-05-24 |
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| 1154953917 | Finch Clinic, Pllc. | Clinic/Center | 1105 Memorial Dr Ste 102, Denison, TX 75020-2043 | 2020-02-10 |
| 1265063689 | Cenikorfoundation | Clinic/Center | 5501 Interstate Hwy 37, Corpus Christi, TX 78408 | 2020-02-04 |
| 1598306862 | Ethos Wellness-the Prairie Recovery Center | Clinic/Center | 5808 Wagner Rd, Round Top, TX 78954-5075 | 2019-10-08 |
| 1619539509 | Arc Counseling LLC | Clinic/Center | 5700 Nw Central Dr Ste 130, Houston, TX 77092-2000 | 2019-07-01 |
| 1982261988 | Davecolephd and Associates | Clinic/Center | 4702 Old Spanish Trl Ste 106, Houston, TX 77021-1718 | 2019-05-24 |
| 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.