ST. JOSEPH'S CHILDREN'S HOME (NPI# 1376688580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376688580 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S CHILDREN'S HOME |
| Practice Address |
1419 Main St Torrington WY 82240-3340 |
| Practice Telephone | 3075324197 |
| Practice Fax Number | 3075328405 |
| Mailing Telephone | 3075324197 |
| Mailing Fax Number | 3075328405 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-03-01 |
| Authorized Official Name | MR. ROBERT C MAYOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3075324197 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 5405 I | WY | Residential Treatment Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 5405I | WY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 111833104 | 05 | |
| WY | 111833101 | 05 | |
| OK | 200051290 A | 05 | |
| WY | 111833103 | 05 | |
| WY | 111833105 | 05 |
| Street Address |
1419 MAIN ST |
| City | TORRINGTON |
| State | WY |
| Zip Code | 82240-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013556786 | Jodee Mendez | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2019-12-30 |
| 1710524178 | Alaria Ruth Schnase | Social Worker | 1419 Main St, Torrington, WY 82240-3340 | 2019-12-04 |
| 1124679196 | Jeanette Elaine Bilstein | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2019-09-21 |
| 1861995433 | Tracy Lynette Pannunzio | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2018-03-09 |
| 1518339399 | Jacqueline Alyse Peterson | Social Worker | 1419 Main St, Torrington, WY 82240-3340 | 2015-10-20 |
| 1881010379 | Phillip Lukalu | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2014-03-09 |
| 1184977373 | Debra Floyd | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2012-10-25 |
| 1659631158 | Jeanie R Shimmin | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2012-05-18 |
| 1255600573 | Alexandra Klein | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2011-12-15 |
| 1720364847 | Laura Marie Wielechowski | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2011-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
| 1063962009 | Kelsey Grant | Counselor | 1419 Main Street, Torrington, WY 82240 | 2016-10-13 |
| 1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
| 1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
| 1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
| 1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
| 1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
| 1669701520 | Healing Concepts of Wyoming Inc | Chiropractor | 1925 East A Street, Torrington, WY 82240 | 2009-12-23 |
| 1720220072 | Bruce O Ross | Counselor | St. Joseph's Children's Home, 1419 Main St, Torrington, WY 82240 | 2009-04-01 |
| 1225247646 | Charles Clinton Kilgore | Chiropractor | 127 West 21st Avenue, Torrington, WY 82240 | 2007-05-22 |
| Find all providers in zip 82240 | ||||
| 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 |
|---|---|---|---|---|
| 1285147819 | Uhs of Wyoming Inc | Psychiatric Residential Treatment Facility | 1514 E 12th St Ste C, Casper, WY 82601-7123 | 2017-11-06 |
| 1376773770 | Trinity Teen Solutions, Inc | Psychiatric Residential Treatment Facility | 112 Safe Haven Rd, Powell, WY 82435-8163 | 2009-07-20 |
| 1013448273 | Cheyenne Vamc | Psychiatric Residential Treatment Facility | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2017-03-21 |
| 1841481603 | Youth Crisis Center, Inc. | Psychiatric Residential Treatment Facility | 915 S Mckinley St, Casper, WY 82601-3440 | 2007-08-07 |
| City | TORRINGTON |
| Zip Code | 82240 |
Please comment or provide details below to improve the information on ST. JOSEPH'S CHILDREN'S HOME.
| 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.