CHILDREN'S FARM HOME (NPI# 1356552558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356552558 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S FARM HOME |
| Practice Address |
1355 Sw Western Blvd Corvallis OR 97333-4203 |
| Practice Telephone | 5417409414 |
| Mailing Telephone | 5417409414 |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KINSEY HOOD (CATS 1) |
| Authorized Official Telephone | 5417585909 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962607549 | Children's Farm Home | Psychiatric Residential Treatment Facility | 954 Nw Sycamore Ave, Apt 8, Corvallis, OR 97330-7107 | 2007-06-15 |
| 1679774418 | Children's Farm Home | Psychiatric Residential Treatment Facility | 4163 Nw Walnut Pl, Corvallis, OR 97330-1036 | 2007-05-30 |
| 1104027341 | Children's Farm Home | Psychiatric Residential Treatment Facility | 38510 Griggs Dr, Lebanon, OR 97355-9440 | 2007-05-29 |
| 1366643579 | Children's Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 3280 Ne Lancaster St Apt 2, Corvallis, OR 97330-4059 | 2007-05-29 |
| 1629289822 | Children's Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 1024 4th Ave Se, Albany, OR 97321-3107 | 2007-05-27 |
| 1104022649 | Children's Farm Home | Clinic/Center | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-06-22 |
| Street Address |
1355 SW WESTERN BLVD |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| 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 |
|---|---|---|---|---|
| 1184829194 | Childrens Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 4455 N.e.hwy 20, Corvallis, OR 97330 | 2007-06-19 |
| 1568663300 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4140 Ne Highway 20, Corvallis, OR 97330-9639 | 2007-05-30 |
| 1366643579 | Children's Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 3280 Ne Lancaster St Apt 2, Corvallis, OR 97330-4059 | 2007-05-29 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1760827182 | Children Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2013-04-30 |
| 1942401781 | Childrens Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-05-30 |
| 1922209121 | Trillium Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Ne Hwy 20, Corvallis, OR 97330-9695 | 2007-05-29 |
| 1275734485 | Trillium Family Service | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-05-29 |
| 1992873004 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Ne Highway 20, Corvallis, OR 97330 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541568 | Dragonfly Programs, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 505 N 9th St, Klamath Falls, OR 97601-2876 | 2019-07-31 |
| 1740844984 | Brigacare, Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 15703 Sw Whetstone Way, Sherwood, OR 97140-8895 | 2019-04-23 |
| 1275085128 | Northwest Youth Discovery | Residential Treatment Facility, Emotionally Disturbed Children | 61850 Dobbin Rd, Bend, OR 97702-9536 | 2016-10-26 |
| 1427414895 | Polk Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 175 Ne Kings Valley Hwy Ste A, Dallas, OR 97338-1787 | 2016-01-14 |
| 1083070361 | Oregon 180 | Residential Treatment Facility, Emotionally Disturbed Children | 725 W 14th St, Medford, OR 97501-3429 | 2016-01-03 |
| 1013395953 | Bridges Academy Corp | Residential Treatment Facility, Emotionally Disturbed Children | 67030 Gist Rd, Bend, OR 97701-9209 | 2015-05-12 |
| 1336565993 | Northwest Youth Discovery | Residential Treatment Facility, Emotionally Disturbed Children | 9 Nw 15th St, Bend, OR 97701-3102 | 2014-03-06 |
| 1528499696 | Klamath Lake County Youth Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 5800 Happy Hollow Ln, Bonanza, OR 97623-7714 | 2013-11-27 |
| 1487082681 | Yamhill County Juvenile Department | Residential Treatment Facility, Emotionally Disturbed Children | 535 E 5th St, Mcminnville, OR 97128-4504 | 2013-10-24 |
| 1154758266 | Youth Guidance Association | Residential Treatment Facility, Emotionally Disturbed Children | 2730 Ne Flanders St, Portland, OR 97232-3160 | 2013-10-03 |
| 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.