Kidz Ark, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

34340 Issued in CO

Legal business name

KIDZ ARK, INC.

Practice address

17282 County Road 32
Sterling, CO 80751-9420

Phone

(970) 522-5775

Fax

(970) 522-5983

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jana Welsh, RN

Title

Executive Director

Phone

(970) 522-5775

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Kidz Ark Inc2 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.

• Kidz Ark, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • New Raymer, CO
  • NPI 1669593927
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kari L Engelman, LPC

  • Professional Counselor
  • Sterling, CO
  • NPI 1649573031
  NPD (past)
• Jay Littlefield, LPC

  • Professional Counselor
  • Sterling, CO
  • NPI 1750402392
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467573220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1725",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807511725",
            "telephone_number": "970-522-5775",
            "fax_number": "970-522-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17282 COUNTY ROAD 32",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807519420",
            "telephone_number": "970-522-5775",
            "fax_number": "970-522-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ ARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-522-5775",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CO",
            "license": "34340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81675356",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93803567",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Nicole Kautz, FNP-C
• Kali Keil, P.T.
• Shane Keil, P.T., O.C.S.
• Nathaniel Reed Kelley, ATC
• Shreaf Khattab, RPH
• Kim'S Fashion Eyewear LLC
• Mark Kinney
• Josh Kyle Kippenhan, RPH
• Robert Klaer
• Nicole Annette Knorr, MS

• Emotionally Disturbed Childrens' Residential Treatment Facility in Sterling, CO
• Providers in Sterling, CO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Colorado

• 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.