BARNABAS HOME INC (NPI# 1689221764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689221764 |
| Entity Type | Organization |
| Organization Name | BARNABAS HOME INC |
| Practice Address |
95 Campus Drive Annville KY 40402 |
| Mailing Address |
Po Box 209 Annville KY 40402-0209 |
| Practice Telephone | 6063643640 |
| Practice Fax Number | 6063642534 |
| Mailing Telephone | 6063643640 |
| Mailing Fax Number | 6063642534 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | ELIZA DIANE CLONTZ (CLINICAL TREATMENT DIRECTOR) |
| Authorized Official Telephone | 6063643640 |
| Authorized Official Credential | LPCC LCADC CSS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100283130 | 05 |
| Street Address |
95 CAMPUS DRIVE |
| City | ANNVILLE |
| State | KY |
| Zip Code | 40402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316303654 | Keith Lakes | Counselor | 11623 Highway 3630, Annville, KY 40402 | 2015-12-31 |
| 1245670124 | Laura Rae Coffey | Physical Therapist | 69 State Rd 3444, Annville, KY 40402 | 2013-06-25 |
| 1093870818 | Misti Rachelle Bond | Occupational Therapist | 69 Sr 3444, Annville, KY 40402 | 2006-12-22 |
| 1194889014 | Candie Naomi Dalton | Physical Therapist | 69 State Road 3444, Annville, KY 40402 | 2006-12-22 |
| 1407845639 | New Jackson Manor, LLC | Clinic/Center | 68 Hwy 3444, Annville, KY 40402 | 2005-10-20 |
| 1689021867 | Laura Sibert | Peer Specialist | 105 Campus Dr, Addiction Recovery Care, Louisa Office Location, Annbille, KY 40402 | 2016-05-18 |
| 1528141603 | Three Stores Inc | Durable Medical Equipment & Medical Supplies | 78 Ky Highway 3444, Suite 2, Annville, KY 40402-0095 | 2006-10-23 |
| 1336109644 | David J. Hays | Family Medicine | 95 Sr 3444 Hwy, Annville, KY 40402-0398 | 2006-03-23 |
| 1033613542 | Annville-ky Adult Daycare, LLC | Clinic/Center | 78 Highway 3444, Annville, KY 40402-8245 | 2018-03-20 |
| 1053860486 | Thompson Drug Annville Inc | Pharmacy | 78 Highway 3444 Ste 2, Annville, KY 40402-8245 | 2016-09-27 |
| Find all providers in zip 40402 | ||||
| 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 |
|---|---|---|---|---|
| 1295108553 | St Joseph Peace Mission for Children | Residential Treatment Facility, Emotionally Disturbed Children | 1328 W 3rd St, Owensboro, KY 42301-1901 | 2015-11-09 |
| 1346652476 | New Pathways for Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3311 Shaw Rd, Melber, KY 42069-8738 | 2014-05-23 |
| 1770927535 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 2495 Cranston Rd, Morehead, KY 40351 | 2013-04-24 |
| 1780027656 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 854 Tunnel Hill Church Road, Elizabethtown, KY 42701 | 2013-04-10 |
| 1285974352 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 330 Hope Street, Mt. Washington, KY 40047 | 2013-02-26 |
| 1487936449 | Florence Crittenton Home | Residential Treatment Facility, Emotionally Disturbed Children | 519 W Fourth St, Lexington, KY 40508-1205 | 2011-09-15 |
| 1851435705 | Bellewood Presbyterian Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 11103 Park Rd, Louisville, KY 40223-2424 | 2007-02-16 |
| 1912089863 | Home of The Innocents | Residential Treatment Facility, Emotionally Disturbed Children | 1100 E. Market St., Louisville, KY 40206 | 2006-10-19 |
| 1699710798 | Campbell Lodge Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 5161 Skyline Dr, Highland Heights, KY 41076-3545 | 2006-06-20 |
| 1821432394 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 1030 Commerce Dr, Elizabethtown, KY 42701 | 2013-04-26 |
| 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.