TREGO COUNTY SECURE CARE CENTER – NPI #1104042290
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.

TREGO COUNTY SECURE CARE CENTER is a residential treatment facility located in WAKEENEY, KS. NPPES has assigned the NPI number 1104042290 to TREGO COUNTY SECURE CARE CENTER on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TREGO COUNTY SECURE CARE CENTER” is a dba name, the actual legal business name for this organization is KELLEY DETENTION SERVICES OF WAKEENEY, INC.. 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 6 years ago on Aug 22, 2020. 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 TREGO COUNTY SECURE CARE CENTER below.

NPI Profile for
KELLEY DETENTION SERVICES OF WAKEENEY, INC.

NPI Number
1104042290
Enumeration Date

(more than 19 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
KELLEY DETENTION SERVICES OF WAKEENEY, INC.
Doing Business As (dba): TREGO COUNTY SECURE CARE CENTER
Primary location
675 SOUTH 13TH STREET
WAKEENEY, KS 67672
Phone: (785) 743-5378 Fax: (785) 743-5245
Mailing address
7945 FLINT ST
LENEXA, KS 66214-3333
Phone: (913) 647-7732 Fax: (913) 647-7710
Organization Subpart
No
Authorized Official
TERRY CAMPBELL
VICE-PRESIDENT - COO
Phone: (785) 232-7445
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)
KS 0033863-001

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.