BRENDA'S DEVINE HERITAGE RESIDENTIAL CARE CENTER (NPI# 1407931926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407931926 |
| Entity Type | Organization |
| Organization Name | BRENDA'S DEVINE HERITAGE RESIDENTIAL CARE CENTER |
| Practice Address |
307 Briscoe Ave Devine TX 78016-3003 |
| Mailing Address |
Po Box 570 Devine TX 78016-0570 |
| Practice Telephone | 8306652000 |
| Practice Fax Number | 8306632832 |
| Mailing Telephone | 8306652000 |
| Mailing Fax Number | 8306632832 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | BRENDA JOYCE BURFORD (OWNER) |
| Authorized Official Telephone | 8306652000 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
115466 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CCAC | 001001115 | 01 |
| Street Address |
307 BRISCOE AVE |
| City | DEVINE |
| State | TX |
| Zip Code | 78016-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731255 | Steinolfson Residential Care Inc | Assisted Living Facility | 307 Briscoe Ave, Devine, TX 78016-3003 | 2016-02-25 |
| 1104223981 | Alice Esquivel | Community Health Worker | 307 Briscoe Ave, Devine, TX 78016-3003 | 2014-11-23 |
| 1750617718 | Brenda's Devine Heritage Residential, Inc. | Assisted Living Facility | 307 Briscoe Ave, Devine, TX 78016-3003 | 2009-10-27 |
| 1396820841 | Brendas Devine Heritage Residential Care Center | Assisted Living Facility | 307 Briscoe Ave, Devine, TX 78016-3003 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720589047 | Diana Pardo Anderson | Licensed Vocational Nurse | 263 Cr 779, Devine, TX 78016 | 2018-02-22 |
| 1184132425 | Innovative Dialysis Solutions At Home of Devine | Clinic/Center | 108 S. Upson Drive, Devine, TX 78016 | 2018-01-22 |
| 1629486402 | Wal-mart Stores Texas, LLC | Technician/Technologist | 175 Ih 35 N, Devine, TX 78016 | 2014-07-24 |
| 1457771396 | Felicia Garcia | Counselor | 1002 W. Hondo Ave., Devine, TX 78016 | 2014-04-18 |
| 1770928186 | Deborah A Guerra | Registered Nurse | 1089 County Road 7718, Devine, TX 78016 | 2013-04-30 |
| 1073717088 | Reagan Manor | Assisted Living Facility | 229 Ecr 5718, Natalia, TX 78016 | 2007-06-13 |
| 1174737837 | Shannon Margaret Wood | Registered Nurse | 198 Cr 6702, Devine, TX 78016 | 2007-05-10 |
| 1558574699 | Hondo Hosptial Authority | Preventive Medicine | 300 N Teel, Devine, TX 78016 | 2007-05-07 |
| 1043396013 | Brenda's Assisted Living | Assisted Living Facility | 309 Briscoe Ave, Devine, TX 78016 | 2006-10-31 |
| 1063661155 | Sue's Country Home & Care | Custodial Care Facility | 195 Private Road 6623, Devine, TX 78016-0096 | 2008-09-12 |
| Find all providers in zip 78016 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140014 | Brenda Burford | Assisted Living Facility | 405 E Hondo Ave, Devine, TX 78016-3316 | 2020-09-25 |
| 1043396013 | Brenda's Assisted Living | Assisted Living Facility | 309 Briscoe Ave, Devine, TX 78016 | 2006-10-31 |
| 1750617718 | Brenda's Devine Heritage Residential, Inc. | Assisted Living Facility | 307 Briscoe Ave, Devine, TX 78016-3003 | 2009-10-27 |
| 1396820841 | Brendas Devine Heritage Residential Care Center | Assisted Living Facility | 307 Briscoe Ave, Devine, TX 78016-3003 | 2006-10-25 |
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| 1518514850 | Czp Commercial Projects | Assisted Living Facility | 4414 Park Breeze Dr, Fresno, TX 77545-8605 | 2019-08-21 |
| 1083272603 | The Viera Senior Living | Assisted Living Facility | 3010 Airline Rd, Corpus Christi, TX 78414-3032 | 2019-05-29 |
| 1871082685 | Karla Hudson | Assisted Living Facility | 539 E Delz Dr, Houston, TX 77022-1703 | 2018-05-07 |
| 1427577444 | Thriving Hands Home Care | Assisted Living Facility | 3634 Colony Dr, San Antonio, TX 78230-3210 | 2017-09-11 |
| 1568987055 | Glatrick Annointed Hands of Care LLC | Assisted Living Facility | 14715 Foxbriar Ln, Frisco, TX 75035-1207 | 2017-08-07 |
| 1366991085 | Pinnacle Community Living | Assisted Living Facility | 243 Independence Spring Drive, Sherman, TX 75090-3335 | 2016-09-22 |
| 1447705579 | God Love Assisted Living Homes | Assisted Living Facility | 5623 W Harrow Dr, Houston, TX 77084-1869 | 2016-08-18 |
| 1790140861 | Milestone Personal Care Inc. | Assisted Living Facility | 10602 Chapel Hill Dr, Houston, TX 77099-3905 | 2015-12-16 |
| 1669869608 | Driven By Divine Intervention Community Development Corporation | Assisted Living Facility | 1051 Meads St, Channelview, TX 77530-2953 | 2015-04-16 |
| Find all providers with the same taxonomy | ||||
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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.