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ST. JUDE'S RANCH FOR CHILDREN
NPI 1043377708
Residential Treatment Facility, Emotionally Disturbed Children in Boulder City, NV

Active since January 02, 2007
100 SAINT JUDES ST, BOULDER CITY, NV 89005(702) 294-7101(702) 294-7191 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Jude's Ranch For Children NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JUDE'S RANCH FOR CHILDREN (NPI 1043377708) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Boulder City, Nevada and active in the NPI registry since January 2007. The organization lists Roland Charles Gant, Residential Coordinator, as its authorized official.

NPPES Registry Identity

NPI1043377708
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameST. JUDE'S RANCH FOR CHILDREN
Location Address100 SAINT JUDES STBoulder City, NV 89005-1614
Mailing AddressPo Box 60100Boulder City, NV 89006-0100 · (702) 294-7101 · Fax (702) 294-7191
Phone(702) 294-7101
Fax(702) 294-7191
Organization SubpartNo
Authorized OfficialRoland Charles GantResidential Coordinator · (702) 294-7101
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043377708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NV · C3701994
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
100 SAINT JUDES ST, Boulder City, NV 89005
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FATIMA PARKER
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100
LYN HALL
Counselor (Professional)
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7188
CANDIS COPE
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 229-4710
IRENE LOVELACE
Rehabilitation Practitioner
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7187
TERRANCE COCKRELL
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100
SHELLIE GIBSON
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100
ADRIAN WEST
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7100
MICHELLE STINNETT
Behavior Analyst
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Jude's Ranch For Children's NPI number?

The NPI number for St. Jude's Ranch For Children is 1043377708. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is St. Jude's Ranch For Children located?

St. Jude's Ranch For Children is located at 100 Saint Judes St, Boulder City, NV 89005. The listed phone number is (702) 294-7101.

What is St. Jude's Ranch For Children's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for St. Jude's Ranch For Children was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.