Good Samaritan Boys Ranch in Brighton - Residential Treatment Facility, Emotionally Disturbed Children
Good Samaritan Boys Ranch - NPI 1679771430
Good Samaritan Boys Ranch is a Residential Treatment Facility, Emotionally Disturbed Children in Brighton, Missouri. Good Samaritan Boys Ranch practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Good Samaritan Boys Ranch is 1679771430. The last update date is 2022-10-26.
Good Samaritan Boys Ranch's current location address is Po Box 617, Brighton, Missouri. You can contact this provider via phone number 4173762238. The mailing address for Good Samaritan Boys Ranch is Po Box 617, Brighton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Good Samaritan Boys Ranch |
|---|---|
| Address | Po Box 617, Brighton, Missouri |
| Phone Number | 4173762238 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Maine Andrew Mark |
| Telephone Number | 4173762238 |
NPI Number Detail
| NPI Number | 1679771430 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2022-10-26 |
Provider Mailing Address Detail
| Address | Po Box 617 |
|---|---|
| City | Brighton |
| State | Missouri (MO) |
| Post Code | 656170617 |
| Phone Number | 4173762238 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique identifier code issued to Good Samaritan Boys Ranch by the Centers for Medicare & Medicaid Services?
The Good Samaritan Boys Ranch has been assigned the NPI (National Provider Identifier) 1679771430. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Good Samaritan Boys Ranch?
The Good Samaritan Boys Ranch is physically situated at Po Box 617, in the city of Brighton, state of MO, with the postal code 656170617.
What is the Good Samaritan Boys Ranch's specialty and taxonomy code?
The Good Samaritan Boys Ranch's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.
On what date was the 1679771430 assigned to Good Samaritan Boys Ranch?
The Good Samaritan Boys Ranch was issued its 1679771430 on 2007-07-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Good Samaritan Boys Ranch most recently updated or refreshed?
The details pertaining to the Good Samaritan Boys Ranch, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-26.