EPWORTH VILLAGE (NPI# 1528310133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528310133 |
Entity Type | Organization |
Organization Name | EPWORTH VILLAGE |
Practice Address |
2119 N Division Ave York NE 68467-1009 |
Practice Telephone | 4023623353 |
Practice Fax Number | 4023637826 |
Mailing Telephone | 4023623353 |
Mailing Fax Number | 4023637826 |
Enumeration Date | 2012-10-05 |
Last Update Date | 2012-10-05 |
Authorized Official Name | STACI MOORMAN (ADMINISTRATIVE ASSISTANT) |
Authorized Official Telephone | 4023623353 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | 9746 | NE | Residential Treatment Facilities |
Street Address |
2119 N DIVISION AVE |
City | YORK |
State | NE |
Zip Code | 68467-1009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962427781 | Epworth Village, Inc. | Psychiatric Residential Treatment Facility | 2119 N Division Ave, York, NE 68467-1009 | 2006-07-13 |
1205101847 | Donelle Ellison | Registered Nurse | 2119 N Division Ave, York, NE 68467-1009 | 2012-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174174486 | Isolde Olmsted | Technician | 1311 N. Florida Ave., York, NE 68467 | 2019-09-27 |
1568937688 | Patricia Rene Vincent | Licensed Practical Nurse | 1715 N Delaware Ave, York, NE 68467 | 2018-10-04 |
1760980494 | Avery Michelle Schneider | Physical Medicine & Rehabilitation | 2222 Lincoln Ave., York, NE 68467 | 2018-01-29 |
1689932055 | David S. Wieting | Dentist | 122 West 6th Street, York, NE 68467 | 2012-04-24 |
1306033626 | Assisted Living Concepts Inc | Assisted Living Facility | 1810 East 12th Street, York, NE 68467 | 2007-10-01 |
1235284043 | Harold Eugene Rosenau | Dentist | 408 Platte Ave, Suite B, York, NE 68467 | 2007-01-24 |
1912057662 | Renee L Duffek | Counselor | 202 E 5th, York, NE 68467 | 2007-01-12 |
1457422123 | Rebecca Rose Green | Counselor | 722 So Lincoln Ave, Suite 1, York, NE 68467 | 2006-11-13 |
1639249220 | Laura Ann Cole | Counselor | 1100 Lincoln Av, Suite F, York, NE 68467 | 2006-11-09 |
1023194669 | York General Hospital | Skilled Nursing Facility | 2600 N Lincoln Ave, York, NE 68467 | 2006-10-27 |
Find all providers in zip 68467 |
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 |
---|---|---|---|---|
1962427781 | Epworth Village, Inc. | Psychiatric Residential Treatment Facility | 2119 N Division Ave, York, NE 68467-1009 | 2006-07-13 |
1114984812 | Thompson Child & Family Focus | Psychiatric Residential Treatment Facility | 234 Kings Mountain St, York, SC 29745-1131 | 2006-04-27 |
1821416116 | The Biblical Counseling Center of York | Psychiatric Residential Treatment Facility | 2200 N Susquehanna Trl, Suite D, York, PA 17404-1652 | 2014-04-03 |
1841515111 | Lisa M Lowrie | Psychiatric Residential Treatment Facility | 1195 Roosevelt Ave, York, PA 17404-2350 | 2010-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
1942413091 | I Believe In Me Ranch | Psychiatric Residential Treatment Facility | 21252 Antelope Rd, Pleasanton, NE 68866-3023 | 2007-05-07 |
1578603833 | Hopespoke | Psychiatric Residential Treatment Facility | 904 Sumner, Lincoln, NE 68502 | 2007-02-07 |
1326124397 | Cooper Village | Psychiatric Residential Treatment Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-2150 | 2006-10-31 |
1457437717 | Uta Halee Girls Village | Psychiatric Residential Treatment Facility | 10625 Calhoun Rd, Omaha, NE 68112-2034 | 2006-10-30 |
1659392454 | Winnebago Indian Health Service | Psychiatric Residential Treatment Facility | Hwy 77/75, Winnebago, NE 68071 | 2006-07-21 |
1942240122 | State of Nebraska Dept of Admin Services | Psychiatric Residential Treatment Facility | West Prospector Place & Folsom Street, Lincoln, NE 68509-4949 | 2006-06-07 |
1891338661 | Mission Field LLC | Psychiatric Residential Treatment Facility | 1104 3rd Ave, Nebraska City, NE 68410-2011 | 2019-10-23 |
1922468230 | Omaha Vamc | Psychiatric Residential Treatment Facility | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2016-02-29 |
1194037424 | Telecare Corporation | Psychiatric Residential Treatment Facility | 819 Dorcas St, Omaha, NE 68108-1137 | 2010-07-01 |
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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.