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CHILDREN'S HOME OF JEFFERSON COUNTY
NPI 1053453886
Residential Treatment Facility, Emotionally Disturbed Children in Watertown, NY

Active since February 12, 2007
1704 STATE STREET, WATERTOWN, NY 13601(315) 788-7430(315) 785-5637 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Sep 8, 2023 (2 updates tracked since 2023).

About Children's Home Of Jefferson County NPPES

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

CHILDREN'S HOME OF JEFFERSON COUNTY (NPI 1053453886) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Watertown, New York and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Canton and lists Michelle Lynn Monnat, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1053453886
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCHILDREN'S HOME OF JEFFERSON COUNTY
Location Address1704 STATE STREETWatertown, NY 13601
Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 788-7430 · Fax (315) 785-5637
Phone(315) 788-7430
Fax(315) 785-5637
Organization SubpartNo
Authorized OfficialMichelle Lynn MonnatPresident And Ceo · (315) 777-9747
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1053453886 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 NY · 00009545
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.

1704 STATE STREET, Watertown, NY 13601
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Secondary Practice Location 1

Location 180 State Highway 310Canton, NY 13617-1436 · Phone (315) 788-7430

Other Identifiers 1

Medicaid00487210NY

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 Children's Home Of Jefferson County's NPI number?

The NPI number for Children's Home Of Jefferson County is 1053453886. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Children's Home Of Jefferson County located?

Children's Home Of Jefferson County is located at 1704 State Street, Watertown, NY 13601. The listed phone number is (315) 788-7430.

What is Children's Home Of Jefferson County'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 Children's Home Of Jefferson County was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.