FRONTLINE RESIDENTIAL TREATMENT CENTER LLC (NPI# 1689749939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689749939 |
| Entity Type | Organization |
| Organization Name | FRONTLINE RESIDENTIAL TREATMENT CENTER LLC |
| Other Organization Name | NORTH STAR RESIDENTIAL TREATMENT CENTER |
| Practice Address |
Mile 2.5 Clark Wolverine Rd Palmer AK 99645 |
| Mailing Address |
2530 Debarr Rd Anchorage AK 99508-2948 |
| Practice Telephone | 9072587575 |
| Mailing Telephone | 9072587575 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | STEVE FILTON (CFO SR VP) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | AK | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| North Star Residential Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356416101 | Frontline Residential Treatment Center LLC | Psychiatric Residential Treatment Facility | 1500 Debarr Circle, Anchorage, AK 99508 | 2006-11-21 |
| Street Address |
MILE 2.5 CLARK WOLVERINE RD |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| 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 |
|---|---|---|---|---|
| 1710149661 | Southcentral Foundation | Psychiatric Residential Treatment Facility | 3550 Cottonwood St, Anchorage, AK 99508-4352 | 2008-07-01 |
| 1194987370 | Southcentral Foundation | Psychiatric Residential Treatment Facility | 4353 Rendezvous Cir, Anchorage, AK 99504-4219 | 2008-06-27 |
| 1861698623 | Southcentral Foundation | Psychiatric Residential Treatment Facility | 1701 Cleveland Ave, Anchorage, AK 99517-2689 | 2007-06-26 |
| 1437271400 | Alaska Children's Services, Inc. | Psychiatric Residential Treatment Facility | 4600 Abbott Rd, Anchorage, AK 99507 | 2007-04-03 |
| 1356416101 | Frontline Residential Treatment Center LLC | Psychiatric Residential Treatment Facility | 1500 Debarr Circle, Anchorage, AK 99508 | 2006-11-21 |
| 1841364957 | Frontlline Residential Treatment Center LLC | Psychiatric Residential Treatment Facility | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2006-11-20 |
| 1659483113 | Providence Health & Services - Washington | Psychiatric Residential Treatment Facility | 3210 W 62nd Ave, Anchorage, AK 99502 | 2006-08-31 |
Please comment or provide details below to improve the information on FRONTLINE RESIDENTIAL TREATMENT CENTER LLC.
| 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.