BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN (NPI# 1851435705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851435705 |
| Entity Type | Organization |
| Organization Name | BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN |
| Practice Address |
11103 Park Rd Louisville KY 40223-2424 |
| Mailing Address |
Po Box 23309 Louisville KY 40223-0309 |
| Practice Telephone | 5022454171 |
| Practice Fax Number | 5022457447 |
| Mailing Telephone | 5022454171 |
| Mailing Fax Number | 5022457447 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JERRY L CANTRELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5022454171 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | KY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 29900016 | 05 | |
| KY | 65936098 | 05 |
| Street Address |
11103 PARK RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095954 | Emily Kaelin Stocking | Social Worker | 11103 Park Rd, Louisville, KY 40223-2424 | 2020-08-26 |
| 1093366338 | Mallory Johnson | Counselor | 11103 Park Rd, Louisville, KY 40223-2424 | 2019-09-27 |
| 1275184988 | Amanda Martin | Counselor | 11103 Park Rd, Louisville, KY 40223-2424 | 2019-09-24 |
| 1821649542 | Amanda M. Mullis | Social Worker | 11103 Park Rd, Louisville, KY 40223-2424 | 2019-09-24 |
| 1184004467 | Christine Michelle Taylor Felts | Counselor | 11103 Park Rd, Louisville, KY 40223-2424 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| 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 |
|---|---|---|---|---|
| 1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
| 1912089863 | Home of The Innocents | Residential Treatment Facility, Emotionally Disturbed Children | 1100 E. Market St., Louisville, KY 40206 | 2006-10-19 |
| 1588801203 | Maryhurst, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295108553 | St Joseph Peace Mission for Children | Residential Treatment Facility, Emotionally Disturbed Children | 1328 W 3rd St, Owensboro, KY 42301-1901 | 2015-11-09 |
| 1346652476 | New Pathways for Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3311 Shaw Rd, Melber, KY 42069-8738 | 2014-05-23 |
| 1770927535 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 2495 Cranston Rd, Morehead, KY 40351 | 2013-04-24 |
| 1780027656 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 854 Tunnel Hill Church Road, Elizabethtown, KY 42701 | 2013-04-10 |
| 1285974352 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 330 Hope Street, Mt. Washington, KY 40047 | 2013-02-26 |
| 1487936449 | Florence Crittenton Home | Residential Treatment Facility, Emotionally Disturbed Children | 519 W Fourth St, Lexington, KY 40508-1205 | 2011-09-15 |
| 1699710798 | Campbell Lodge Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 5161 Skyline Dr, Highland Heights, KY 41076-3545 | 2006-06-20 |
| 1821432394 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 1030 Commerce Dr, Elizabethtown, KY 42701 | 2013-04-26 |
| 1891038493 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 500 New Start Rd, Bronston, KY 42518 | 2013-04-02 |
| 1386979615 | Children's Home of Northern Kentucky | Residential Treatment Facility, Emotionally Disturbed Children | 200 Home Rd, Covington, KY 41011 | 2009-10-05 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
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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.