SEQUEL SCHOOLS LLC DBA KINGSTON ACADEMY


Address: 183 Fiddler's Lane, Kingston, TN 37763-4020
Phone: 8653762296

SEQUEL SCHOOLS LLC DBA KINGSTON ACADEMY (NPI# 1245398908) 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) 1245398908
Entity Type Organization
Organization Name SEQUEL SCHOOLS LLC DBA KINGSTON ACADEMY
Other Organization Name CAMELOT OF TENNESSEE
Practice Address 183 Fiddler's Lane
Kingston
TN 37763-4020
Mailing Address 1131 Eagletree Lane
Huntsville
AL 35801-6478
Practice Telephone 8653762296
Practice Fax Number 8653760369
Mailing Telephone 2568803339
Mailing Fax Number 2568807026
Enumeration Date 2006-12-05
Last Update Date 2011-09-08
Authorized Official Name RUSSELL LEE HEMBREE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8653762296
Authorized Official Credential BA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 323P00000X Psychiatric Residential Treatment Facility L 2(37)M3-016-11 TN Residential Treatment Facilities
Y 323P00000X Psychiatric Residential Treatment Facility L000000008435 TN Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810000021 05
TN 1440370 05

Other Provider/Organization Names

Other Name Type Code
Camelot of Tennessee Other Name - Individual/Organization

Office Location

Street Address 183 FIDDLER'S LANE
City KINGSTON
State TN
Zip Code 37763-4020

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124445937 Jessica Shea Kirkland Physical Therapist 629 Gallher Rd, Kingston, TN 37763 2014-03-19
1639328529 Kenneth P Fus Pharmacist 106 W. Race Street, Kingston, TN 37763 2008-09-16
1558580266 Total Mobility Inc Durable Medical Equipment & Medical Supplies 2644 Decatur Hwy, Kingston, TN 37763 2007-04-24
1699824789 James David Walmsley Jr. Dentist 1011 Waterford Pl, Kingston, TN 37763 2007-01-09
1689618886 William Joseph Roberts General Practice 1445 Kingston Way, Kingston, TN 37763 2006-06-16
1851356851 Larry D Ladd Physical Therapist 100 E Race St, A, Kingston, TN 37763 2006-04-20
1497725964 Elizabeth Turner Social Worker 1002 Bradford Way, Kingston, TN 37763 2006-01-25
1073064309 Elizabeth Jennings Ivey Counselor 508 N Kentucky St Ste 4, Kingston, TN 37763 2016-10-21
1982966966 Megan H Chapman Physician Assistant 933 W Race St, Kingston, TN 37763 2012-06-14
1568609220 Michelle Carr Occupational Therapist 187 Gallaher Rd, Kingston, TN 37763 2009-01-15
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

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NPI Name Taxonomy Address Enumeration
1225645674 Change Academy At Lake of The Ozarks Psychiatric Residential Treatment Facility 5842 Highway 30, Benton, TN 37307-4734 2020-09-29
1053966747 Youth Villages, Inc Psychiatric Residential Treatment Facility 7428 Memphis-arlington Rd, Memphis, TN 38135-3813 2019-08-08
1679127971 Youth Villages, Inc. Psychiatric Residential Treatment Facility 7386 Memphis Arlington Rd, Memphis, TN 38135-1908 2019-07-25
1396215810 Hanbleceya Nashville, LLC Psychiatric Residential Treatment Facility 300 35th Ave N, Nashville, TN 37209-3921 2018-11-27
1700332145 Keysgroupholdings LLC Psychiatric Residential Treatment Facility 110 Westwood Pl, Suite 100, Brentwood, TN 37027-5075 2016-08-26
1144672411 Woodridge Behavioral Care, LLC Psychiatric Residential Treatment Facility 162 Cude Ln, Madison, TN 37115-2202 2016-07-11
1144689001 Onsite Partners, Inc. Psychiatric Residential Treatment Facility 1044 Old Highway 48 N, Cumberland Furnace, TN 37051-5000 2016-02-19
1811389158 Ko Pest Control Psychiatric Residential Treatment Facility 3575 Hwy 138, Toone, TN 38381 2015-02-24
1124463849 Frontier Health Psychiatric Residential Treatment Facility 210 Quary Rd, Johnson City, TN 37601-7580 2013-05-08
1063796431 The Link Center, Inc. Psychiatric Residential Treatment Facility 6978 Lebanon Rd Ste F, Mount Juliet, TN 37122-7201 2011-10-04
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Competitor

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City KINGSTON
Zip Code 37763

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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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