THE CHILDREN'S HOME (NPI# 1710216163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710216163 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HOME |
| Other Organization Name | CHILDREN'S HOME COMMUNITY SERVICES |
| Practice Address |
58 Missionary Rd Cromwell CT 06416-2134 |
| Mailing Address |
58 Missionary Drive Cromwell CT 06416 |
| Practice Telephone | 8606356010 |
| Practice Fax Number | 8606133926 |
| Mailing Telephone | 8606356010 |
| Mailing Fax Number | 8606133926 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Authorized Official Name | MR. GARRY MULLANEY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8606356010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Children's Home Community Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336311182 | The Children's Home | Community/Behavioral Health | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2008-04-01 |
| 1841351442 | The Children's Home | Community/Behavioral Health | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1750442356 | The Children's Home | Community/Behavioral Health | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1861553463 | The Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1770644379 | The Children's Home | Community/Behavioral Health | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1972664571 | The Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2006-12-13 |
| 1124189485 | The Children's Home | Community/Behavioral Health | 827 Wiley Brown Rd, Franklin, NC 28734-1000 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | THE CHILDREN'S HOME OF VIRGINIA BAPTIST INC. | 6900 Hickory Rd, Petersburg, Virginia 23803 |
| Street Address |
58 MISSIONARY RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134275647 | Adelbrook Community Services, Inc. | Community/Behavioral Health | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2007-01-26 |
| 1396279006 | Shannone Pettie | Social Worker | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2017-04-19 |
| 1326407347 | Laura Albee | Behavioral Analyst | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2016-02-18 |
| 1477947794 | Schuyler Ivey | Behavioral Analyst | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2015-03-25 |
| 1336531920 | Kristal Barnes | Behavioral Analyst | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2015-02-19 |
| 1043644123 | Tracyann Marie Spaulding Bolstridge | Counselor | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2013-08-26 |
| 1275967606 | Erica Lyn Zapatka | Occupational Therapist | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2013-08-21 |
| 1710324769 | Mary Ann Yarbrough | Social Worker | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2013-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| 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 |
|---|---|---|---|---|
| 1669866315 | Joseph Mancinone | Residential Treatment Facility, Emotionally Disturbed Children | 271 Southbury Rd, Roxbury, CT 06783-2101 | 2015-03-20 |
| 1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
| 1467635326 | Northeast Center for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1556 Storrs Rd, Mansfield, CT 06028 | 2007-12-13 |
| 1215271705 | The Children's Center of Hamden, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1400 Whitney Ave, Hamden, CT 06517-2459 | 2012-11-21 |
| 1194041335 | Nakia M Washington | Residential Treatment Facility, Emotionally Disturbed Children | 105 Spring St, Hartford, CT 06105-2112 | 2010-04-13 |
| 1851621247 | New Hope Manor | Residential Treatment Facility, Emotionally Disturbed Children | 48 Hartford Rd, Manchester, CT 06040-5921 | 2010-01-06 |
| 1801086830 | Grove School | Residential Treatment Facility, Emotionally Disturbed Children | 175 Copse Rd, Madison, CT 06443-2323 | 2007-07-26 |
| 1245304096 | The Village for Families & Children, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1680 Albany Ave, Hartford, CT 06105-1001 | 2006-11-20 |
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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.