St. Jude'S Ranch for Children
St. Jude'S Ranch for Children is a healthcare organization registered as Emotionally Disturbed Childrens' Residential Treatment Facility in Boulder City, NV, holding Type 2 (organization) NPI 1043377708 since 2007. The authorized official on file is Roland Gant, Residential Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043377708 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | St. Jude'S Ranch for Children |
| Practice address | 100 SAINT JUDES ST, Boulder City, NV, 89005 |
| Phone | 7022947101 |
| Fax | 7022947191 |
| Enumeration date | 2007-01-02 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Roland Gant |
|---|---|
| Title | Residential Coordinator |
| Phone | 7022947101 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | Primary | C3701994 | NV |
Copy-ready billing details
Provider: St. Jude'S Ranch for Children NPI: 1043377708 Taxonomy: 322D00000X (Emotionally Disturbed Childrens' Residential Treatment Facility) Address: 100 SAINT JUDES ST, Boulder City, NV, 89005
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790089209 | St. Jude'S Ranch for Children | Organization | Community/Behavioral Health Agency | Boulder City, NV |
| 1659650877 | David Parton | Individual | Behavior Analyst | Boulder City, NV |
| 1821377045 | Maurice Richardson | Individual | Behavior Analyst | Boulder City, NV |
| 1740569037 | Barbara Douse | Individual | Behavior Analyst | Boulder City, NV |
| 1649559865 | Trina Richardson | Individual | Behavior Analyst | Boulder City, NV |
| 1750660031 | Qiana Cockrell | Individual | Behavior Analyst | Boulder City, NV |
| 1720367949 | Ebonie Thompson | Individual | Behavior Analyst | Boulder City, NV |
| 1073892360 | Terrance Cockrell | Individual | Behavior Analyst | Boulder City, NV |
Verify this record
Cross-check NPI 1043377708 against the authoritative CMS record: view St. Jude'S Ranch for Children on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for St. Jude'S Ranch for Children?
Who is the authorized official for St. Jude'S Ranch for Children?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.