BURKWOOD, INC. (NPI# 1356412506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356412506 |
Entity Type | Organization |
Organization Name | BURKWOOD, INC. |
Practice Address |
615 Old Mill Rd Hudson WI 54016-6959 |
Practice Telephone | 7153866125 |
Practice Fax Number | 7153868775 |
Mailing Telephone | 7153866125 |
Mailing Fax Number | 7153868775 |
Enumeration Date | 2006-11-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LISETTA BLAISDELL (SECRETARY) |
Authorized Official Telephone | 7153866125 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
615 OLD MILL RD |
City | HUDSON |
State | WI |
Zip Code | 54016-6959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861773863 | Crc Wi Rd LLC | Clinic/Center | 615 Old Mill Rd, Hudson, WI 54016-6959 | 2011-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
Find all providers in zip 54016 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467833103 | The Process Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 41 Sagamore Park Rd, Hudson, NH 03051-4915 | 2015-06-17 |
1598920035 | Crc Wisconsin Rd LLC | Substance Abuse Rehabilitation Facility | 615 Old Mill Road, Hudson, WI 54016-6959 | 2008-07-24 |
1730163742 | Twin County Recovery Services Inc | Substance Abuse Rehabilitation Facility | 47 North 5th St, Hudson, NY 12534 | 2005-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
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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.