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ST. JUDE'S RANCH FOR CHILDREN
NPI 1215528260
Community/Behavioral Health in Boulder City, NV

Active since February 02, 2021
200 WILSON CIR, BOULDER CITY, NV 89005(702) 294-7100 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 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 1215528260) is a healthcare organization registered as a community/behavioral health in Boulder City, Nevada and active in the NPI registry since February 2021. The organization lists Tina Marie Bellerose, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215528260
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameST. JUDE'S RANCH FOR CHILDREN
Location Address200 WILSON CIRBoulder City, NV 89005-4401
Mailing Address200 Wilson CirBoulder City, NV 89005-4401 · (702) 294-7100
Phone(702) 294-7100
Organization SubpartNo
Authorized OfficialTina Marie BelleroseOffice Manager · (603) 381-2229
Enumeration DateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
✔ NPI 1215528260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
200 WILSON CIR, Boulder City, NV 89005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

GLENN WALLACE
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100
MAELESHYA TYLER
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100
NICOLA ADAMS
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100
CHELBI VERNON
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100
DEBBIE EFFERT
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100
KAREN SUE GREEN
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100
ANDREW BURGOS
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100
KAREN LESLIE POWELL
Rehabilitation Practitioner
200 WILSON CIR
BOULDER CITY, NV 89005
Clark County (702) 294-7100

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 1215528260. It was assigned to this organization in the NPPES registry on February 2, 2021.

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

St. Jude's Ranch For Children is located at 200 Wilson Cir, Boulder City, NV 89005. The listed phone number is (702) 294-7100.

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for St. Jude's Ranch For Children was last updated on February 2, 2021. 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.