BOB BELLONI RANCH, INC. – NPI #1093040693
Residential Treatment Facility, Emotionally Disturbed Children

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.

BOB BELLONI RANCH, INC. is a residential treatment facility located in COOS BAY, OR. NPPES has assigned the NPI number 1093040693 to BOB BELLONI RANCH, INC. on October 15, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 13 years ago on Dec 02, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOB BELLONI RANCH, INC. below.

NPI Profile for
BOB BELLONI RANCH, INC.

NPI Number
1093040693
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOB BELLONI RANCH, INC.
Primary location
320 CENTRAL AVE STE 406
COOS BAY, OR 97420-2241
Phone: (541) 269-0321 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROGER LANGLIE
EXECUTIVE DIRECTOR
Phone: (541) 269-0321
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
OR 43

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.