NPIMap

Organization Active NPI

The United Methodist Children's Home

Doing business as Methodist Children's Home - RTC Dacus

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bono, AR
National Provider Identifier
1851546725
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
THE UNITED METHODIST CHILDREN'S HOME
Doing business as
Methodist Children's Home - RTC Dacus
Practice address
211 Church St
Bono, AR 72416-9578
Phone
(870) 932-8880
Fax
(501) 325-7938
NPI assigned
Nov 19, 2008
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mr. Lesley Don Cole
Title
Cfo
Phone
(501) 661-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

211 Church St
Bono, AR 72416-9578

Mailing address

1600 Aldersgate Rd
Suite 200
Little Rock, AR 72205-6676
Phone (501) 661-0720

Other identifiers 1

IdentifierTypeStateIssuer
171082125MedicaidAR

Other names 1

  • Methodist Children's Home - RTC Dacus 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 1851546725. Details of each certification follow.

  • CCN 04L119 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 04L119

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
UNITED METHODIST CHILDREN'S HOME (BONO)
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Sep 15, 2011
Last certification
Oct 14, 2021
Beds
25
Ownership / control type
For profit – corporation
Facility address
211 Church Street
Bono, AR 72416

National Provider Directory

National Provider Directory
Tax ID family
Ar Cares9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

211 Church St
Bono, AR 72416
Phone (870) 932-8880

Practitioners & affiliated clinicians

Practitioners 1

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": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1851546725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056676",
            "telephone_number": "501-661-0720",
            "fax_number": "501-325-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724169578",
            "telephone_number": "870-932-8880",
            "fax_number": "501-325-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNITED METHODIST CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "501-661-0720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171082125",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Children's Home - RTC Dacus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bono, AR

Sources for this page

Verify at the official NPI Registry.