BOYS AND GIRLS HOME AND FAMILY SERVICES, INC. (NPI# 1184701245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184701245 |
| Entity Type | Organization |
| Organization Name | BOYS AND GIRLS HOME AND FAMILY SERVICES, INC. |
| Practice Address |
2101 Court St Sioux City IA 51104-3243 |
| Mailing Address |
Po Box 1197 Sioux City IA 51102-1197 |
| Practice Telephone | 7122934700 |
| Practice Fax Number | 7122934800 |
| Mailing Telephone | 7122934715 |
| Mailing Fax Number | 7122934800 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT P SHEEHAN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7122934700 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1087866 | 05 |
| Street Address |
2101 COURT ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003877291 | Kimberly Joan Devries | Social Worker | 2101 Court St, Sioux City, IA 51104-3243 | 2006-03-29 |
| 1255825816 | Laura Ann Mcardle | Counselor | 2101 Court St, Sioux City, IA 51104-3243 | 2018-06-18 |
| 1154852531 | Amy Small | Counselor | 2101 Court St, Sioux City, IA 51104-3243 | 2017-03-27 |
| 1104357599 | Tiffany Holbrook | Counselor | 2101 Court St, Sioux City, IA 51104-3243 | 2017-03-27 |
| 1700334083 | Brianna Mae Peterson | Counselor | 2101 Court St, Sioux City, IA 51104-3243 | 2016-09-15 |
| 1598132110 | Christina M Spicer | Counselor | 2101 Court St, Sioux City, IA 51104-3243 | 2015-08-31 |
| 1649603283 | Jackson Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 2101 Court St, Sioux City, IA 51104-3243 | 2013-08-19 |
| 1205052420 | Bradley J Bergeson | Counselor | 2101 Court St, Sioux City, IA 51104-3243 | 2007-04-17 |
| 1689716169 | Dean Watchorn Newbrey | Social Worker | 2101 Court St, Sioux City, IA 51104-3243 | 2007-02-13 |
| 1235271305 | Family Service's Inc | Clinic/Center | 2101 Court St, Sioux City, IA 51104-3243 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| 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 |
|---|---|---|---|---|
| 1063511038 | Boys and Girls Home Residential Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2101 Court St, Sioux City, IA 51104-3243 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992256291 | Hillcrest Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2543 Wilbricht Ln, Dubuque, IA 52001-3034 | 2016-10-21 |
| 1497959050 | Midwest Christian Services | Residential Treatment Facility, Emotionally Disturbed Children | 4509 20th Ave, Peterson, IA 51047-7524 | 2007-06-14 |
| 1851415947 | Youth Homes of Mid-america | Residential Treatment Facility, Emotionally Disturbed Children | 7225 Nw 58th St, Johnston, IA 50131-1948 | 2007-03-16 |
| 1255472882 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2007-02-08 |
| 1104973148 | Rabiner Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2007-01-04 |
| 1669531000 | Youth Services International, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4502 230th St, Wallingford, IA 51365-7539 | 2006-12-08 |
| 1831665785 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2018-10-18 |
| 1962806158 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2014-10-16 |
| 1245426238 | Youth and Family Resource Services | Residential Treatment Facility, Emotionally Disturbed Children | 200 6th St, Gruver, IA 51334-8518 | 2007-09-24 |
| 1992839872 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
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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.