Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Jude's Ranch for Children

Organization Rehabilitation Practitioner · NPI 1215528260

St Jude's Ranch for Children is a Rehabilitation Practitioner in Boulder City, Nevada. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

200 Wilson Cir
Boulder City, NV 89005-4401
Phone: (702) 294-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1215528260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Bellerose — Office Manager · (603) 381-2229
NPI enumeratedFebruary 2, 2021
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021
Mailing address200 Wilson Cir, Boulder City, NV 89005-4401

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