COMMUNITY BASED INTERVENTIONS – NPI #1114291879
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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

COMMUNITY BASED INTERVENTIONS is a residential treatment facility located in MONTICELLO, KY. NPPES has assigned the NPI number 1114291879 to COMMUNITY BASED INTERVENTIONS on February 28, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY BASED INTERVENTIONS” is a dba name, the actual legal business name for this organization is FOOTHILLS ACADEMY, INC.. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, 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. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on May 14, 2021. 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 COMMUNITY BASED INTERVENTIONS below.

NPI Profile for
FOOTHILLS ACADEMY, INC.

NPI Number
1114291879
Enumeration Date

(more than 14 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
FOOTHILLS ACADEMY, INC.
Doing Business As (dba): COMMUNITY BASED INTERVENTIONS
Other name(s)
All associated names:
Doing Business As (dba)
COMMUNITY BASED INTERVENTIONS
Doing Business As (dba)
Otter Creek
Primary location
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633-9005
Phone: (606) 343-0216 Fax: (606) 343-0224
1 Other location(s):
132 Foothills Ave
Albany, KY 42602-1090
Phone: (606) 387-0567
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMANTHA SIMMONS
DIRECTOR
Phone: (606) 343-0216
Updated
Certification Date
May 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COMMUNITY BASED INTERVENTIONS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100317630
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)		 KY 500595
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children		 KY 500595
261QM1300X
- Clinic/Center / Multi-Specialty
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)
261Q00000X
- Clinic/Center

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.