NPIMap

Organization Active NPI

Remuda Ranch Center for Eating Disorders East, Inc.

Doing business as Remuda Life Program

  • Psychiatric Residential Treatment Facility
  • Bowling Green, VA
National Provider Identifier
1912152356
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
935-02-019 Issued in VA
Legal business name
REMUDA RANCH CENTER FOR EATING DISORDERS EAST, INC.
Doing business as
Remuda Life Program
Practice address
124 North Main Street
Bowling Green, VA 22427
Phone
(804) 632-1090
NPI assigned
Nov 26, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
REMUDA RANCH HOLDING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Ms. Julie Kestner
Title
Cfo / Sr. VP
Phone
(928) 684-3913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 935-02-019 VA Primary

Addresses

Primary practice location

124 North Main Street
Bowling Green, VA 22427

Mailing address

1 E Apache St
Wickenburg, AZ 85390-2442
Phone (804) 632-1090

Other names 1

  • Remuda Life Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Remuda Life Program2 organizations share this tax ID, including this one
Part of
Remuda Ranch Holding Company

Other organizations with this tax ID 1

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

Locations

124 N Main St
Bowling Green, VA 22427
Phone (804) 632-1090

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1912152356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E APACHE ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853902442",
            "telephone_number": "804-632-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NORTH MAIN STREET",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-632-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMUDA RANCH CENTER FOR EATING DISORDERS EAST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REMUDA RANCH HOLDING COMPANY",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "KESTNER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO / SR. VP",
        "authorized_official_telephone_number": "928-684-3913",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "935-02-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remuda Life Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.