YOUTH HOMES OF MID-AMERICA (NPI# 1851415947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851415947 |
| Entity Type | Organization |
| Organization Name | YOUTH HOMES OF MID-AMERICA |
| Practice Address |
7225 Nw 58th St Johnston IA 50131-1948 |
| Mailing Address |
Po Box 39 Johnston IA 50131-0039 |
| Practice Telephone | 5152763473 |
| Practice Fax Number | 5152784329 |
| Mailing Telephone | 5152763473 |
| Mailing Fax Number | 5152784329 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD D. STEHL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5152763473 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | IA | Residential Treatment Facilities | |
| X | 251S00000X | Community/Behavioral Health | IA | Agencies | |
| X | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0470195 | 05 | |
| IA | 0102020 | 05 | |
| IA | 1102020 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | YOUTH HOMES OF MID-AMERICA THERAPY SERVICES, L.L.C. | 7085 Nw Beaver Dr, Po Box 39, Johnston, IA 50131 |
| Street Address |
7225 NW 58TH ST |
| City | JOHNSTON |
| State | IA |
| Zip Code | 50131-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011229 | Joseph Barnard | Technician | 6406 Theresa Dr, Johnston, IA 50131 | 2019-09-05 |
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1982182606 | Dental Studio of Iowa PC | Dentist | 5495 Nw 100th Street, Johnston, IA 50131 | 2018-08-03 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1104293570 | Sarah Michelle Fees | Nurse Practitioner | 8605 Chambery Blvd, Johnston, IA 50131 | 2015-09-01 |
| 1013329978 | Jonathan Jeffrey Karch | Dentist | 5495 Nw 100th St, Johnston, IA 50131 | 2014-05-27 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1205105855 | Lesile Jane Mentele | Pharmacist | 6100 Nw 97th St, Johnston, IA 50131 | 2011-12-27 |
| 1750610812 | Amanda J Moore | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131 | 2009-12-18 |
| 1225293426 | Center for Maximized Living, LLC | Chiropractor | 8671 Northpark Ct., Johnston, IA 50131 | 2008-07-28 |
| Find all providers in zip 50131 | ||||
| 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 |
|---|---|---|---|---|
| 1760606396 | Community Solutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 785 Greenville Ave, Johnston House, Johnston, RI 02919-1329 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992256291 | Hillcrest Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2543 Wilbricht Ln, Dubuque, IA 52001-3034 | 2016-10-21 |
| 1497959050 | Midwest Christian Services | Residential Treatment Facility, Emotionally Disturbed Children | 4509 20th Ave, Peterson, IA 51047-7524 | 2007-06-14 |
| 1255472882 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2007-02-08 |
| 1104973148 | Rabiner Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2007-01-04 |
| 1669531000 | Youth Services International, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4502 230th St, Wallingford, IA 51365-7539 | 2006-12-08 |
| 1831665785 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2018-10-18 |
| 1962806158 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2014-10-16 |
| 1245426238 | Youth and Family Resource Services | Residential Treatment Facility, Emotionally Disturbed Children | 200 6th St, Gruver, IA 51334-8518 | 2007-09-24 |
| 1992839872 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-15 |
| 1023187507 | Lutheran Services In Iowa | Residential Treatment Facility, Emotionally Disturbed Children | 3125 Cottage Grove Ave, Des Moines, IA 50311-3809 | 2006-11-07 |
| 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.