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Pentecostal Children's Home
Children's Substance Abuse Rehabilitation Facility in Barbourville, Kentucky
NPI 1811430978

Pentecostal Children's Home is a Children's Substance Abuse Rehabilitation Facility based in Barbourville, KY and is specialized in Substance Abuse Treatment, Children. Pentecostal Children's Home practices in Barbourville, KY. The NPI Number for Pentecostal Children's Home is 1811430978 and holds a License No. (Kentucky).

The current practice location address for Pentecostal Children's Home is 1909 Ky 3439, Barbourville, KY and can be reached out via phone at 606-546-3805 and via fax at 606-546-3903.

Location: 1909 Ky 3439, Barbourville, KY, 40906-0550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811430978
Provider Name
Pentecostal Children's Home
Credential
Provider Entity Type
Organization
Address
1909 Ky 3439, Barbourville, KY, 40906-0550
Phone Number
606-546-3805
Fax Number
606-546-3903
Provider Enumeration Date
11/22/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1909 Ky 3439
City
Barbourville
State
Kentucky
Zip
40906-7201
Phone Number
606-546-3805
Fax Number
606-546-3903
person
Provider Business Mailing Address Details
Address
1909 Ky 3439
City
Barbourville
State
Kentucky
Zip
40906-7201
Phone Number
606-546-3805
Fax Number
606-546-3903
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
810530 (Kentucky)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
800232 (Kentucky)
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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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