BURKE CENTER (NPI# 1083764112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083764112 |
| Entity Type | Organization |
| Organization Name | BURKE CENTER |
| Other Organization Name | NACOGDOCHES HOUSE |
| Practice Address |
2712 Se Stallings Dr Nacogdoches TX 75961-7442 |
| Mailing Address |
Po Box 151608 Lufkin TX 75915-1608 |
| Practice Telephone | 9365643147 |
| Practice Fax Number | 9366395837 |
| Mailing Telephone | 9366316149 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DORTHEY SINGLETON (ACCOUNTING CLERK) |
| Authorized Official Telephone | 9366316149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Nacogdoches House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245894682 | Burke Center | Pharmacy | 1522 W Frank Ave Ste 109, Lufkin, TX 75904-3334 | 2019-04-30 |
| 1770636037 | Burke Center | Intermediate Care Facility, Mentally Retarded | 2105 N John Redditt, Lufkin, TX 75904 | 2007-01-19 |
| 1689727133 | Burke Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2105 N John Redditt Dr, Lufkin, TX 75904 | 2007-01-19 |
| 1467502187 | Burke Center | Intermediate Care Facility, Mental Illness | 46 W Bay Dr, Jasper, TX 75951-5532 | 2007-01-12 |
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1689724296 | Burke Center | Intermediate Care Facility, Mental Illness | 700 Mcmahon Ave, Newton, TX 75966 | 2007-01-12 |
| 1174673891 | Burke Center | Intermediate Care Facility, Mental Illness | 200 Stubblefield Dr, Diboll, TX 75941-2117 | 2007-01-12 |
| 1164573770 | Burke Center | Intermediate Care Facility, Mental Illness | Delta Heights & Temple Ave, Pineland, TX 75968 | 2007-01-12 |
| 1972653582 | Burke Center | Intermediate Care Facility, Mental Illness | 703 W. Martin Luther King Drive, Kirbyville, TX 75956 | 2007-01-12 |
| 1164518163 | Burke Center | Pharmacy | 2704 Homer Alto Rd, Lufkin, TX 75904-8750 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BURKE CENTER FOR YOUTH | 20800 Fr 150 W, Driftwood, TX 78619-9202 |
| Street Address |
2712 SE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-7442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741602 | Yvette S Amador | Intermediate Care Facility, Mental Illness | 9300 Aubrey Ct, Fort Worth, TX 76140-5169 | 2019-07-11 |
| 1598213878 | Harmony Living Centers Inc | Intermediate Care Facility, Mental Illness | 101 Rosebud Dr, Marshall, TX 75672-3371 | 2016-09-15 |
| 1609136944 | James E. Ryan | Intermediate Care Facility, Mental Illness | 5322 22nd St, Lubbock, TX 79407-2117 | 2012-05-21 |
| 1689962508 | City Crown Php Inc | Intermediate Care Facility, Mental Illness | 2626 Raven Falls Ln, Friendswood, TX 77546-6072 | 2011-07-12 |
| 1548586720 | Mental Health Facility | Intermediate Care Facility, Mental Illness | 556 Buffalo Creek Dr, Desoto, TX 75115-5328 | 2010-04-13 |
| 1518296698 | Hannah's Place A Home With Love | Intermediate Care Facility, Mental Illness | 12251 Running Bird Ln, Austin, TX 78758-2633 | 2009-12-18 |
| 1609077205 | Newstart Inc. | Intermediate Care Facility, Mental Illness | 4503 Palomino Ct, Arlington, TX 76017-1592 | 2007-05-30 |
| 1508072000 | Fe Care Inc | Intermediate Care Facility, Mental Illness | 19365 Fm 2252, Suite 9, Garden Ridge, TX 78266-2566 | 2007-05-14 |
| 1326252750 | Specialized Home Life | Intermediate Care Facility, Mental Illness | 12302 Gran Vista St, San Antonio, TX 78233-5927 | 2007-05-08 |
| 1285757385 | Special Texas Homes, Inc. | Intermediate Care Facility, Mental Illness | 2301 Olive Cir, Baytown, TX 77520-5775 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.