TRIANGLE CROSS RANCH (NPI# 1730560608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730560608 |
| Entity Type | Organization |
| Organization Name | TRIANGLE CROSS RANCH |
| Practice Address |
428 Road 1af Powell WY 82435-8103 |
| Practice Telephone | 3076453322 |
| Practice Fax Number | 3076453030 |
| Mailing Telephone | 3076453322 |
| Mailing Fax Number | 3076453030 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | MICHAEL POLLARD MORSO (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3072544191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522071 | Triangle Cross Ranch | Assisted Living Facility | 36049 Co Rd 51, Galeton, CO 80622 | 2020-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | TRIANGLE CROSS RANCH, INC. | 36049 Wcr 51, Galeton, CO 80622 |
| Street Address |
428 ROAD 1AF |
| City | POWELL |
| State | WY |
| Zip Code | 82435-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487052080 | Michael Morso | Counselor | 428 Road 1af, Powell, WY 82435-8103 | 2014-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 1730636895 | Kara Baus | Registered Nurse | 112 Safe Haven Road, Powell, WY 82435 | 2016-09-07 |
| 1942620208 | Susan C Hawkinson | Speech-Language Pathologist | 558 E 2nd St., Children's Resource Center Attention: Ila Jean Jenkins, Powell, WY 82435 | 2014-04-24 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1578993549 | Doni Lauk | Case Management | 458 S Ferris St, Powell, WY 82435 | 2013-11-12 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1992008841 | Justin Dean Mccoll | Counselor | 89 Rd 8 Ra, Powell, WY 82435 | 2010-12-15 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| Find all providers in zip 82435 | ||||
| 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 |
|---|---|---|---|---|
| 1063890341 | Scott Clem | Residential Treatment Facility, Emotionally Disturbed Children | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2015-05-07 |
| 1801159447 | Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83014-0240 | 2012-06-19 |
| 1649431826 | Cornerstone Programs Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 3304 E I-80 Service Rd, Cheyenne, WY 82009-8781 | 2008-06-20 |
| 1437328663 | Northeast Wyoming Boces | Residential Treatment Facility, Emotionally Disturbed Children | 410 N Miller Ave, Gillette, WY 82716-2929 | 2008-02-21 |
| 1144414780 | Teton Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 7905 S. Fall Creek Rd., Wilson, WY 83014-0290 | 2007-08-28 |
| 1649493453 | Youth Emergency Services | Residential Treatment Facility, Emotionally Disturbed Children | 706 Longmont St, Gillette, WY 82716-2927 | 2007-04-10 |
| 1578685863 | C-v Ranch Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 N. Wilderness Dr., Wilson, WY 83014 | 2007-04-06 |
| 1639217144 | Northwest Wyoming Boces | Residential Treatment Facility, Emotionally Disturbed Children | 250 East Arapahoe Street, Thermopolis, WY 82443 | 2007-02-05 |
| 1174679195 | Normative Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5 Lane Lane, Sheridan, WY 82801-8630 | 2007-01-25 |
| 1831442201 | Region V Board of Cooperative Educational Services | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83025 | 2012-10-22 |
| 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.