Organization Active NPI

Lemontree Enterprises, LLC Dba Liberty Juvenile Services & Treatment

  • Psychiatric Residential Treatment Facility
  • Wichita, KS
National Provider Identifier
1174598395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
440861 Issued in KS
Legal business name
LEMONTREE ENTERPRISES, LLC DBA LIBERTY JUVENILE SERVICES & TREATMENT
Practice address
2050 W 11TH Street N
Wichita, KS 67203
Phone
(316) 267-5710
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Timothy Smith
Title
Chief Financial Officer
Phone
(316) 267-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 440861 KS Primary

Addresses

Primary practice location

2050 W 11TH Street N
Wichita, KS 67203

Mailing address

2050 W 11TH St N
Wichita, KS 67203-3006
Phone (316) 267-5710

Other identifiers 2

IdentifierTypeStateIssuer
000352OtherKSBCBS OF KS
0000105048OtherKSBCBS OF KANSAS

National Provider Directory

National Provider Directory
Tax ID family
Lemon Tree Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174598395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W 11TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033006",
            "telephone_number": "316-267-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W 11TH STREET N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-267-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONTREE ENTERPRISES, LLC DBA LIBERTY JUVENILE SERVICES & TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "316-267-5710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "440861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "000352",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "0000105048",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.