KLAMATH LAKE COUNTY YOUTH RANCH
NPI 1528499696
Residential Treatment Facility, Emotionally Disturbed Children in Bonanza, OR

Active since November 27, 2013
5800 HAPPY HOLLOW LN, BONANZA, OR 97623(541) 545-6742 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Klamath Lake County Youth Ranch NPPES

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

KLAMATH LAKE COUNTY YOUTH RANCH (NPI 1528499696) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Bonanza, Oregon and active in the NPI registry since November 2013. The organization lists William Thompson, Program Director, as its authorized official.

NPPES Registry Identity

NPI1528499696
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameKLAMATH LAKE COUNTY YOUTH RANCH
Location Address5800 HAPPY HOLLOW LNBonanza, OR 97623-7714
Mailing Address5800 Happy Hollow LnBonanza, OR 97623-7714 · (541) 545-6742
Organization SubpartNo
Authorized OfficialWilliam ThompsonProgram Director · (541) 545-6742
Enumeration DateNovember 27, 2013
NPI 1528499696 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 OR · 0138
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.
5800 HAPPY HOLLOW LN, Bonanza, OR 97623

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 Klamath Lake County Youth Ranch's NPI number?

The NPI number for Klamath Lake County Youth Ranch is 1528499696. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Klamath Lake County Youth Ranch located?

Klamath Lake County Youth Ranch is located at 5800 Happy Hollow Ln, Bonanza, OR 97623. The listed phone number is (541) 545-6742.

What is Klamath Lake County Youth Ranch'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 Klamath Lake County Youth Ranch was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.