FOUR OAKS FAMILY AND CHILDREN'S SERVICES (NPI# 1851858617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851858617 |
| Entity Type | Organization |
| Organization Name | FOUR OAKS FAMILY AND CHILDREN'S SERVICES |
| Practice Address |
80 North Eisenhower Ave Mason City IA 50401 |
| Mailing Address |
5400 Kirkwood Blvd Sw Cambridge Program Cedar Rapids IA 52404-5298 |
| Practice Telephone | 3193640259 |
| Practice Fax Number | 8669081043 |
| Mailing Telephone | 3193640259 |
| Mailing Fax Number | 8662905565 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | MS. TAMI GILLMORE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 1936402593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929339 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 930 South Iowa Ave, Mason City, IA 50402 | 2019-02-27 |
| 1205393071 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, North Oaks Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1194282962 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, Mcintyre Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1992262760 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1417493537 | Four Oaks Family and Children's Services | Community/Behavioral Health | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2017-01-12 |
| Street Address |
80 NORTH EISENHOWER AVE |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992262760 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| 1295175271 | Cherielynn S Wagner | Family Medicine | 621 S Illinois Ave Ste 100, Mason City, IA 50401 | 2013-07-05 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929339 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 930 South Iowa Ave, Mason City, IA 50402 | 2019-02-27 |
| 1992262760 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780880310 | Hillcrest Family Services | Psychiatric Residential Treatment Facility | 2445 Hillcrest Rd, Dubuque, IA 52001 | 2007-06-21 |
| 1134265291 | Christian Home Association-children's Square U.S.A. | Psychiatric Residential Treatment Facility | North 6th & Ave E, Council Bluffs, IA 51502-3008 | 2007-01-29 |
| 1871665372 | Alegent Health Bergan Mercy Health System | Psychiatric Residential Treatment Facility | 359 Indian Hills Dr, Glenwood, IA 51534-1953 | 2006-11-14 |
| 1245309749 | Vera French Sheridan Springs | Psychiatric Residential Treatment Facility | 5006 Sheridan St., Davenport, IA 52806-4167 | 2006-11-07 |
| 1245220938 | Orchard Place | Psychiatric Residential Treatment Facility | 925 Sw Porter Ave, Des Moines, IA 50315-7235 | 2005-10-25 |
| 1205393071 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, North Oaks Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1194282962 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, Mcintyre Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1902119118 | Orchard Place | Psychiatric Residential Treatment Facility | 808 5th Ave, Des Moines, IA 50309-1307 | 2010-07-16 |
| 1558536524 | Healing Place, L.L.C. | Psychiatric Residential Treatment Facility | 215 6th Ave S, Ste 25, Clinton, IA 52732-4338 | 2008-04-29 |
| 1023204773 | Woodward Academy | Psychiatric Residential Treatment Facility | 1251 334th St, Woodward, IA 50276-7509 | 2007-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.