Campbell Lodge Boys' Home
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Highland Heights, KY
NPI 1699710798 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1699710798
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- CAMPBELL LODGE BOYS' HOME
- Practice address
- 5161 Skyline Dr
Highland Heights, KY 41076-3545 - Phone
- (859) 781-1214
- Fax
- (859) 442-3473
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael L Schroth, MSW
- Title
- Executive Director
- Phone
- (859) 781-1214
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
5161 Skyline Dr
Highland Heights, KY 41076-3545
Mailing address
5161 Skyline Dr
Highland Heights, KY 41076-3545
Phone (859) 781-1214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29100351 | Medicaid | KY |
Other providers in Highland Heights, KY
- Ashleigh Anne Brady
- Rachel Broering
- Eric Kent Brooks
- Kelsey Calhoun
- Campbell County Chiropractic
- Vickie C Chan
- Lynnette Carol Chasteen
- Rani L. Clark
- Colleen Patricia Delzotti
- Ansley H. Depp
All providers in Highland Heights, KY · Emotionally Disturbed Childrens' Residential Treatment Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.