CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC (NPI# 1457576381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457576381 |
| Entity Type | Organization |
| Organization Name | CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC |
| Other Organization Name | TRANSITIONAL LIVING CENTER |
| Practice Address |
2620 Se 23rd St Topeka KS 66605-1747 |
| Mailing Address |
7945 Flint St Lenexa KS 66214-3333 |
| Practice Telephone | 7852327445 |
| Practice Fax Number | 7852327776 |
| Mailing Telephone | 9136477732 |
| Mailing Fax Number | 9136477710 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY L. CAMPBELL (VICE-PRESIDENT - COO) |
| Authorized Official Telephone | 7852327445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 0043892-004 | KS | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Transitional Living Center | Doing Business As Name - Organization |
| Street Address |
2620 SE 23RD ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66605-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326690769 | Shelane Hope Frederick | Registered Nurse | 2443 Se 29th Street, Topeka, KS 66605 | 2019-07-16 |
| 1982150595 | Bio-medical Applications of Kansas, Inc. | Clinic/Center | 3408 Se 29th St, Topeka, KS 66605 | 2016-09-01 |
| 1740424878 | Trisha L. Brabender | Physical Therapist | 3310 Se 29th Street, Suite 300, Topeka, KS 66605 | 2009-04-20 |
| 1932358488 | Rutherford-peterson Dentistry LLC | Dentist | 3316 Se 28th Terrace, Topeka, KS 66605 | 2008-09-09 |
| 1578664587 | Deborah Ryan Haag | Social Worker | 325 Frazier, Topeka, KS 66605 | 2006-09-25 |
| 1073525119 | Katherine S Seim-snyder | Nurse Practitioner | 2909 Sw Walnut Drive, Topeka, KS 66605 | 2006-08-13 |
| 1982644787 | Dillon Companies LLC | Pharmacy | 2010 Se 29th St, Topeka, KS 66605 | 2006-06-08 |
| 1033188479 | James N Marker | Dentist | 1605 Se 29th St, Topeka, KS 66605 | 2006-03-17 |
| 1376914127 | East 29th Street Dental Center, LLC | Dentist | 2037 Se 29th St, Topeka, KS 66605 | 2015-10-19 |
| 1457320798 | Alison N Hadden | Dentist | 1605 Se 29th St, Topeka, KS 66605 | 2006-03-17 |
| Find all providers in zip 66605 | ||||
| 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 |
|---|---|---|---|---|
| 1669698759 | Clarence M. Kelley Detention Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6700 Southwest Topeka Boulevard, Building 379, Forbes Field, Topeka, KS 66214 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962789214 | Freedom House Ministries | Residential Treatment Facility, Emotionally Disturbed Children | 7044 Antioch Rd, Merriam, KS 66204-1246 | 2011-11-14 |
| 1104042290 | Kelley Detention Services of Wakeeney, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 675 South 13th Street, Wakeeney, KS 67672 | 2007-04-17 |
| 1548316615 | The Salvation Army | Residential Treatment Facility, Emotionally Disturbed Children | 350 N Market St, Wichita, KS 67202-2010 | 2007-01-25 |
| 1750361119 | Marillac Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-01-20 |
| 1932441177 | Riverside Academy | Residential Treatment Facility, Emotionally Disturbed Children | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-26 |
| 1871778217 | Richard Alspaw | Residential Treatment Facility, Emotionally Disturbed Children | 24401 W Macarthur Rd, Goddard, KS 67052-8713 | 2008-01-03 |
| 1184764151 | Kvc Hospitals Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2007-02-07 |
| 1235210196 | Area Mental Health Center | Residential Treatment Facility, Emotionally Disturbed Children | 1111 E Spruce St, Garden City, KS 67846-5958 | 2006-10-18 |
| 1154421097 | Southwest Guidance Center | Residential Treatment Facility, Emotionally Disturbed Children | 333 W 15th St, Liberal, KS 67901-2455 | 2006-09-22 |
| 1710095435 | Iroquois Center for Human Development, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2006-08-25 |
| 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.