NPIMap

Organization Active NPI

Father Flanagan's Boys' Home

Doing business as Boys Town Behavorial Health

  • Psychiatric Residential Treatment Facility
  • Boys Town, NE
National Provider Identifier
1073609798
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MHC010 Issued in NE
Legal business name
FATHER FLANAGAN'S BOYS' HOME
Doing business as
Boys Town Behavorial Health
Practice address
14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone
(531) 355-7300
Fax
(531) 355-7329
NPI assigned
Oct 4, 2006
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FATHER FLANAGAN'S BOYS HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bridgette Renbarger
Title
Cfo
Phone
(531) 355-3121

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHC001 NE
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 08558143 NE
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 23058955 NE
Psychiatric Residential Treatment Facility 323P00000X MHC010 NE Primary

Addresses

Primary practice location

14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513

Mailing address

14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-7300

Other practice location 1

555 N 30th St
Omaha, NE 68131-2136
Phone (402) 498-6509

Other names 1

  • Boys Town Behavorial Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073609798. Details of each certification follow.

  • CCN 28L054 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 28L054

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BOYS TOWN RESIDENTIAL TREATMENT CENTER- WEST
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Oct 1, 2011
Last certification
Jan 27, 2023
Beds
80
Ownership / control type
Non-profit – other
Facility address
14092 Boys Town Hospital Rd
Boys Town, NE 68010

National Provider Directory

National Provider Directory
Tax ID family
Smith Mary E MD8 organizations share this tax ID, including this one
Part of
Smith Mary E MD

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1073609798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14092 BOYS TOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107513",
            "telephone_number": "531-355-7300",
            "fax_number": "531-355-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14092 BOYS TOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107513",
            "telephone_number": "531-355-7300",
            "fax_number": "531-355-7329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N 30th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681312136",
            "country_code": "US",
            "telephone_number": "402-498-6509",
            "fax_number": "402-498-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FATHER FLANAGAN'S BOYS' HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FATHER FLANAGAN'S BOYS HOME",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "RENBARGER",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "531-355-3121"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NE",
            "license": "MHC001",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NE",
            "license": "08558143",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NE",
            "license": "23058955",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NE",
            "license": "MHC010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boys Town Behavorial Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boys Town, NE

Sources for this page

Verify at the official NPI Registry.