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ST. JUDE'S RANCH FOR CHILDREN
NPI 1790089209
Community/Behavioral Health in Boulder City, NV

Active since December 28, 2010
100 SAINT JUDES ST, BOULDER CITY, NV 89005(702) 294-7100(702) 294-7171 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: August 30, 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 1790089209) is a healthcare organization registered as a community/behavioral health in Boulder City, Nevada and active in the NPI registry since December 2010. The organization lists Hannah L Ware, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1790089209
Entity TypeOrganization
Primary Taxonomy251S00000X
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) 294-7100 · Fax (702) 294-7171
Phone(702) 294-7100
Fax(702) 294-7171
Organization SubpartNo
Authorized OfficialHannah L WareClinical Director · (702) 294-7135
Enumeration DateDecember 28, 2010
Last NPPES UpdateAugust 1, 2014
✔ NPI 1790089209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
100 SAINT JUDES ST, Boulder City, NV 89005
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Other Identifiers 2

Medicaid9005043433NV
Medicaid9005043441NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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
ST. JUDE'S RANCH FOR CHILDREN
Residential Treatment Facility, Emotionally Disturbed Children
100 SAINT JUDES ST
BOULDER CITY, NV 89005
Clark County (702) 294-7101
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

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 1790089209. It was assigned to this organization in the NPPES registry on December 28, 2010.

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) 294-7100.

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.

What insurance does St. Jude's Ranch For Children accept?

Health plans from Ambetter from Arizona Complete Health list St. Jude's Ranch For Children as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Jude's Ranch For Children was last updated on August 1, 2014. 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.