Boys and Girls Home and Family Services, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BOYS AND GIRLS HOME AND FAMILY SERVICES, INC.

Practice address

2101 Court St
Sioux City, IA 51104-3243

Phone

(712) 293-4700

Fax

(712) 293-4800

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert P Sheehan

Title

President and Ceo

Phone

(712) 293-4700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184701245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1197",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511021197",
            "telephone_number": "712-293-4715",
            "fax_number": "712-293-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 COURT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043243",
            "telephone_number": "712-293-4700",
            "fax_number": "712-293-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS AND GIRLS HOME AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "712-293-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1087866",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbi Boutwell
• Travis James Bowers, MA
• Shelby Elizabeth Mae Bownes, CNA, DSP, HHA
• Mykl Boyd-Raska
• Michele A Boykin, LISW
• Boys and Girls Home Residential Treatment Centers, Inc.
• Nabil Braiteh, MD
• Heidi Braunschweig, ARNP
• Yorbelis Brea
• Randall Lee Breeden, D.D.S.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Iowa

• 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.