UNITED METHODIST CHILDREN'S HOME, INC. (NPI# 1326116518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326116518 |
| Entity Type | Organization |
| Organization Name | UNITED METHODIST CHILDREN'S HOME, INC. |
| Practice Address |
2002 S Fillmore St Little Rock AR 72204-4909 |
| Mailing Address |
1600 Aldersgate Rd Suite 200 Little Rock AR 72205-6614 |
| Practice Telephone | 5019064928 |
| Practice Fax Number | 5014210175 |
| Mailing Telephone | 5016610720 |
| Mailing Fax Number | 5013257938 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | MR. LESLEY DON COLE (CFO) |
| Authorized Official Telephone | 5016610720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | AR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 140636125 | 05 | |
| AR | 5F114 | BCBS | 01 |
| AR | 141529726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841445384 | United Methodist Children's Home, Inc. | Clinic/Center | 407 S 7th St, Heber Springs, AR 72543-3722 | 2008-11-25 |
| Street Address |
2002 S FILLMORE ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227922 | Beverly Burse | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2020-05-26 |
| 1336793215 | Elizabeth Grobmyer | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2019-07-29 |
| 1790252690 | Antoinette Beasley | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2018-10-29 |
| 1508348319 | Austin Tisdale | Social Worker | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2018-08-29 |
| 1720595416 | Vicky Baker | Social Worker | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2018-01-04 |
| 1164944344 | Tiffany Dobson | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2017-07-10 |
| 1790220036 | Kimberla Valley | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-12-22 |
| 1316494560 | Tanya Seward | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-09-06 |
| 1316309271 | Jujuana Yenette Haywood | Case Manager/Care Coordinator | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-03-22 |
| 1992164263 | Cathy Lynn Staton | Psychologist | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915840 | Psychiatric Services, Inc | Psychiatric Residential Treatment Facility | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| 1396999801 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210 | 2008-11-11 |
| 1083820146 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2007-05-15 |
| 1134117906 | Psychiatric Services, Inc. | Psychiatric Residential Treatment Facility | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
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| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1225211741 | Woodridge of Forrest City, LLC | Psychiatric Residential Treatment Facility | 603 Kittel Rd, Forrest City, AR 72335-7728 | 2007-12-06 |
| 1447380423 | Piney Ridge Treatment Center, LLC | Psychiatric Residential Treatment Facility | 4253 Crossover Rd, Fayetteville, AR 72703 | 2007-03-07 |
| 1689020844 | Woodridge Northwest, LLC | Psychiatric Residential Treatment Facility | 2466 S 48th St, Springdale, AR 72762-6683 | 2016-05-06 |
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1013278233 | Ladonna Kay Delee | Psychiatric Residential Treatment Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-06-05 |
| 1134305436 | Woodridge Northeast, LLC | Psychiatric Residential Treatment Facility | 600 N 7th St, West Memphis, AR 72301 | 2008-01-16 |
| 1104033976 | Ameris of Arkansas, LLC | Psychiatric Residential Treatment Facility | 611 W Lee Ave, Osceola, AR 72370-3001 | 2007-05-17 |
| 1124144563 | Texarkana Behavioral Associates, L.c. | Psychiatric Residential Treatment Facility | 4253 N. Crossover Rd., Fayetteville, AR 72703-4593 | 2007-03-21 |
| 1316071228 | Texarkana Behavioral Asociates Lc | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2007-03-15 |
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| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.