REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES (NPI# 1831442201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831442201 |
| Entity Type | Organization |
| Organization Name | REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES |
| Other Organization Name | C-V RANCH |
| Practice Address |
3850 North Wilderness Drive Wilson WY 83025 |
| Mailing Address |
Po Box 240 Wilson WY 83014-0240 |
| Practice Telephone | 3077338210 |
| Practice Fax Number | 3077338462 |
| Mailing Telephone | 3077338210 |
| Mailing Fax Number | 3077338462 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | MS. MAYLING H SUMICAD (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 3077338210 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | OTR598 | WY | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | OTR598 | WY | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| C-V Ranch | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES | 3850 N Wilderness Dr, Wilson, WY 83014 |
| Street Address |
3850 NORTH WILDERNESS DRIVE |
| City | WILSON |
| State | WY |
| Zip Code | 83025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801159447 | Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83014-0240 | 2012-06-19 |
| 1730429036 | Maurice Keith Mader | Social Worker | 3850 North Wilderness Drive, Wilson, WY 83014-0240 | 2013-02-22 |
| 1417295775 | Mayling Sumicad | Occupational Therapist | 3850 North Wilderness Drive, Wilson, WY 83025 | 2013-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376896092 | Victoria R. Wallace Bates | Speech-Language Pathologist | 3850 N. Wilderness Dr., Teton Village, WY 83025 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1114531993 | Pathways Human Services of North Carolina, LLC | Counselor | 2835 Daisy Ln N Ste B, Wilson, NC 27896-6942 | 2020-08-31 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1881203768 | Kristen Edwards Dempsey | Registered Nurse | 4503 Pinehurst Dr N, Wilson, NC 27896-9003 | 2020-07-28 |
| 1255949905 | Caitlin Elizabeth Ciccone | Physical Therapist | 4010 N Lake Creek Dr, Unit C, Wilson, WY 83014-8301 | 2020-07-20 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| Find all providers in WILSON | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669736252 | Serenity of Wilson Home Care Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4004 Eclipse Way, Wilson, NC 27896-7801 | 2012-06-27 |
| 1578840567 | Davis Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6604 E Us 264 Alt, Wilson, NC 27893 | 2011-11-04 |
| 1972807915 | Gentle Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1615 Washington St E, Wilson, NC 27893-5561 | 2011-01-05 |
| 1801121181 | Harvest Care of North Carolina, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1513 Forest Hills Rd Nw, Wilson, NC 27896-1553 | 2009-10-05 |
| 1891922217 | Supreme Love | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4232 Coghill Dr N, Wilson, NC 27896-9503 | 2009-06-11 |
| 1386884518 | Myles's Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 909 Gold St N, Wilson, NC 27893-2509 | 2009-02-27 |
| 1164606505 | A Better Way of Life Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 103 Belmont Ave Sw, Wilson, NC 27893-4701 | 2007-12-20 |
| 1871772731 | Amandla Enterprises Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 111 Nash St W # 204, Wilson, NC 27893-4012 | 2007-10-29 |
| 1780704213 | Wanda H. Hinton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 306 North Ave N, Apt A, Wilson, NC 27893-2454 | 2007-03-29 |
| 1194843839 | Carolyn Diane Perry | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 108 Stadium St Sw, Wilson, NC 27893-4749 | 2007-03-27 |
| Find all providers in WILSON | ||||
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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.