FOREST RIDGE YOUTH SERVICES – NPI #1669531000
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

FOREST RIDGE YOUTH SERVICES is a residential treatment facility located in WALLINGFORD, IA. NPPES has assigned the NPI number 1669531000 to FOREST RIDGE YOUTH SERVICES on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOREST RIDGE YOUTH SERVICES” is a dba name, the actual legal business name for this organization is YOUTH SERVICES INTERNATIONAL, 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 FOREST RIDGE YOUTH SERVICES below.

NPI Profile for
YOUTH SERVICES INTERNATIONAL, INC

NPI Number
1669531000
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
YOUTH SERVICES INTERNATIONAL, INC
Doing Business As (dba): FOREST RIDGE YOUTH SERVICES
Primary location
4502 230TH ST
WALLINGFORD, IA 51365-7539
Phone: (712) 867-4724 Fax: (712) 867-4505
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER SIEVERT
FACILITY ADMINISTRATOR
Phone: (712) 867-4724
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)		 IA

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.