OZARK TRAILS YOUTH SERVICES (NPI# 1548895790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548895790 |
Entity Type | Organization |
Organization Name | OZARK TRAILS YOUTH SERVICES |
Practice Address |
40840 Cr Rd 181-280 Willow Springs MO 65793-6579 |
Mailing Address |
1405 Doctors Dr West Plains MO 65775-4754 |
Practice Telephone | 4173722041 |
Mailing Telephone | 4172564111 |
Enumeration Date | 2020-03-09 |
Last Update Date | 2020-03-09 |
Authorized Official Name | CHRIS MANTELL (CFO) |
Authorized Official Telephone | 4348822303 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Street Address |
40840 CR RD 181-280 |
City | WILLOW SPRINGS |
State | MO |
Zip Code | 65793-6579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
1023439403 | Lori Pendergrass | Occupational Therapy Assistant | 910 Springfield Rd, Willow Springs, MO 65793 | 2014-01-02 |
1912151960 | Matthew Eugene Mansfield | Dentist | 2729 State Route 76 West, Willow Springs, MO 65793 | 2008-11-04 |
1407950520 | Lester E Cox Medical Centers | Family Medicine | 816 E Main, Willow Springs, MO 65793 | 2006-09-11 |
1972771657 | Mercy Clinic Springfield Communities | Family Medicine | 1202 E Main St, Willow Springs, MO 65793 | 2008-02-14 |
1366443913 | Willow Health Care Inc | Home Health | 2642 State Route 76, Willow Springs, MO 65793-0000 | 2005-08-04 |
1598742777 | Alexander Mark Prorok | Counselor | 3670 County Road 4990, Willow Springs, MO 65793-0506 | 2005-12-28 |
1548341019 | Laura Louise Curtis | Counselor | 2695 Sr U, Willow Springs, MO 65793-0631 | 2006-10-18 |
Find all providers in zip 65793 |
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 |
---|---|---|---|---|
1609474204 | Whetstone Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6850 County Road 2660, Mountain View, MO 65548-8146 | 2020-10-15 |
1962995993 | The Bridge Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 6033 Swope Pkwy, Kansas City, MO 64130-4461 | 2018-06-13 |
1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
1568914927 | Clear Creek Counseling | Residential Treatment Facility, Emotionally Disturbed Children | 3646 N Farm Road 89, Willard, MO 65781-8330 | 2016-11-01 |
1619330578 | Farmer Grove Homesteads Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 533 E Bedford St, Marshfield, MO 65706-1218 | 2016-03-29 |
1720447212 | Corner Stones of Care | Residential Treatment Facility, Emotionally Disturbed Children | 300 E 36th St, Kansas City, MO 64111-1410 | 2016-02-12 |
1558729509 | Cayman's House of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 311 N Poplar St, Fair Play, MO 65649-9299 | 2016-02-05 |
1639503691 | Proverb Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 420 Carroll St, Morehouse, MO 63868 | 2013-08-27 |
1306147277 | Fair Haven Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 3132 N Fair Haven Loop, Strafford, MO 65757-8619 | 2010-11-09 |
1437470184 | Ozarks Teen Challenge | Residential Treatment Facility, Emotionally Disturbed Children | 512 Purist Lane, Branson West, MO 65737 | 2010-06-17 |
Find all providers with the same taxonomy |
City | WILLOW SPRINGS |
Zip Code | 65793 |
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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.