BERTRAM DEVELOPMENT COMPANY INC (NPI# 1558305672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558305672 |
| Entity Type | Organization |
| Organization Name | BERTRAM DEVELOPMENT COMPANY INC |
| Other Organization Name | BERTRAM NURSING HOME |
| Practice Address |
540 Highway 29 East Bertram TX 78605-1615 |
| Mailing Address |
Po Box 1615 Bertram TX 78605-1615 |
| Practice Telephone | 5123552116 |
| Practice Fax Number | 5123552092 |
| Mailing Telephone | 5123552116 |
| Mailing Fax Number | 5123552092 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | MR. DENNIS RAY BAKER JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 5123552116 |
| Authorized Official Credential | LNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 115364 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | VENDOR NUMBER | 00452202 | 01 |
| Other Name | Type Code |
|---|---|
| Bertram Nursing Home | Doing Business As Name - Organization |
| Street Address |
540 HIGHWAY 29 EAST |
| City | BERTRAM |
| State | TX |
| Zip Code | 78605-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424027 | Jennifer Boehm Gattuso | Occupational Therapy Assistant | 540 Hwy 29, Bertram, TX 78605 | 2019-02-21 |
| 1871073676 | Heidi Lynn Hall | Occupational Therapy Assistant | 540 E. Hwy 29, Bertram, TX 78605 | 2018-08-21 |
| 1437604162 | Vicki J Bates | Counselor | 150 S. West St., Bertram, TX 78605 | 2016-08-23 |
| 1649657610 | D&s Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 648 West Cedar Street, Bertram, TX 78605 | 2015-04-29 |
| 1922401728 | Bertram Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 540 E. Highway 29, Bertram, TX 78605 | 2014-10-07 |
| 1326268731 | Louis Levy Leatherman | Internal Medicine | 618 County Rd. 324, Bertram, TX 78605 | 2007-04-26 |
| 1811058738 | Community Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 E. Hwy 29, Bertram, TX 78605 | 2006-12-13 |
| 1487673315 | Lanny Michael Stone | Physician Assistant | 160 N Lampasas, Bertram, TX 78605 | 2006-07-19 |
| 1376595611 | Asif S Syed | Internal Medicine | 540 E Hwy 29, Bertram, TX 78605 | 2006-05-16 |
| 1770565822 | Community Care Inc | Intermediate Care Facility, Mentally Retarded | 246 E Hwy 29, Bertram, TX 78605 | 2005-11-15 |
| Find all providers in zip 78605 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
| 1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BERTRAM DEVELOPMENT COMPANY INC.
| 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.