CLARENCE M. KELLEY DETENTION SERVICES, INC. (NPI# 1669698759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669698759 |
| Entity Type | Organization |
| Organization Name | CLARENCE M. KELLEY DETENTION SERVICES, INC. |
| Other Organization Name | FORBES JUVENILE ATTENTION CENTER |
| Practice Address |
6700 Southwest Topeka Boulevard Building 379, Forbes Field Topeka KS 66214 |
| Mailing Address |
7945 Flint St Lenexa KS 66214-3333 |
| Practice Telephone | 7858625378 |
| Practice Fax Number | 7858621683 |
| Mailing Telephone | 9136477732 |
| Mailing Fax Number | 9136477710 |
| Enumeration Date | 2007-04-17 |
| 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 | 26228-2 | KS | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Forbes Juvenile Attention Center | Doing Business As Name - Organization |
| Street Address |
6700 SOUTHWEST TOPEKA BOULEVARD BUILDING 379, FORBES FIELD |
| City | TOPEKA |
| State | KS |
| Zip Code | 66214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| 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 |
|---|---|---|---|---|
| 1457576381 | Clarence M. Kelley Detention Services of Topeka, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2620 Se 23rd St, Topeka, KS 66605-1747 | 2007-04-16 |
| 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.