CHILDREN'S HOME OF NORTHERN KENTUCKY (NPI# 1386979615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386979615 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOME OF NORTHERN KENTUCKY |
| Practice Address |
200 Home Rd Covington KY 41011 |
| Mailing Address |
200 Home Rd Covington KY 41011-1942 |
| Practice Telephone | 8592618768 |
| Practice Fax Number | 8592912431 |
| Mailing Telephone | 8592618768 |
| Mailing Fax Number | 8592912431 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | JULIE RAIA (CHIEF STRATEGY OFFICER) |
| Authorized Official Telephone | 8592924162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 500488 | KY | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 950033 | KY | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | 800129 | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100326190 | 05 | |
| KY | 7100505420 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4836 Idlewild Rd, Burlington, KY 410058742 | 8592618768 | 8592912431 |
| 525 W 5th St Ste 219, Covington, KY 410111293 | 8592618768 | 8592912431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934315 | Children's Home of Northern Kentucky | Psychiatric Residential Treatment Facility | 200 Home Road, Covington, KY 41011-1942 | 2018-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S HOME OF NORTHERN KENTUCKY, INC. | 200 Home Rd, Covington, KY 41011-1942 |
| Street Address |
200 HOME RD |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912158536 | Lori Michelle Barrett | Counselor | 200 Home Rd, Covington, KY 41011-5634 | 2008-10-01 |
| 1134737992 | Tomius R Neal | Social Worker | 200 Home Rd, Covington, KY 41011-1942 | 2020-07-17 |
| 1407419971 | Kathleen Principe Sheaffer | Counselor | 200 Home Rd, Covington, KY 41011-1942 | 2019-04-19 |
| 1568923928 | Brianna Roland | Social Worker | 200 Home Rd, Covington, KY 41011-1942 | 2019-03-28 |
| 1962902668 | Amy Sperber | Counselor | 200 Home Rd, Covington, KY 41011-1942 | 2018-02-19 |
| 1356841712 | Kara D Harris | Counselor | 200 Home Rd, Covington, KY 41011-1942 | 2018-02-12 |
| 1811436165 | Jaclyn M Gleason | Counselor | 200 Home Rd, Covington, KY 41011-1942 | 2017-02-20 |
| 1265981633 | Rachel J Wagers | Counselor | 200 Home Rd, Covington, KY 41011-1942 | 2016-09-27 |
| 1184008757 | Crystal Leugers | Social Worker | 200 Home Rd, Covington, KY 41011-1942 | 2015-07-14 |
| 1053717645 | Brittany Renaker | Counselor | 200 Home Rd, Covington, KY 41011-1942 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314900 | Raymir Behavioral Health LLC | Community/Behavioral Health | 2899 H D Atha Rd, Covington, GA 30014-0728 | 2019-06-08 |
| 1730547977 | Paragon Wellness, LLC | Community/Behavioral Health | 726 E Rutland St, Covington, LA 70433-3223 | 2016-02-02 |
| 1396136933 | Tchefuncte Family Counseling | Community/Behavioral Health | 321 N Vermont St, Suite 203, Covington, LA 70433-2833 | 2015-02-17 |
| 1780087007 | Parr Educational Evaluations, LLC | Community/Behavioral Health | 5001 Hwy190, Suite B, Covington, LA 70433 | 2014-10-01 |
| 1821497603 | Around Atlanta Psychotherapy Concepts, LLC | Community/Behavioral Health | 580 Clearbrook Dr, Covington, GA 30016-9134 | 2014-08-18 |
| 1023444197 | Second Chance Youth Community Center Inc | Community/Behavioral Health | 3303 Salem Rd, Covington, GA 30016-1865 | 2013-09-20 |
| 1902249485 | Family Preservation Services, Inc. | Community/Behavioral Health | 4050 Midland Trl, Covington, VA 24426-5403 | 2013-04-15 |
| 1831532431 | Family Preservation Services, Inc. | Community/Behavioral Health | 100 Gleason Dr, Covington, VA 24426-6246 | 2013-04-12 |
| 1730522335 | Family Preservation Services, Inc. | Community/Behavioral Health | 1000 Riverview Farm Rd, Covington, VA 24426-6245 | 2013-04-12 |
| 1215294137 | Scholar Specialized Treatment Services | Community/Behavioral Health | 45 Wellstone Pl, Covington, GA 30014-7076 | 2012-04-17 |
| Find all providers in COVINGTON | ||||
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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.