BURDINE INC (NPI# 1558690792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558690792 |
Entity Type | Organization |
Organization Name | BURDINE INC |
Other Organization Name | NEW BEGINNING RESIDENTIAL CARE HOME |
Practice Address |
214 S. Fourth St. Red Bird OK 74458-0096 |
Practice Telephone | 9184831425 |
Practice Fax Number | 9184831425 |
Mailing Telephone | 9184831425 |
Mailing Fax Number | 9184831425 |
Enumeration Date | 2009-12-17 |
Last Update Date | 2009-12-17 |
Authorized Official Name | JAMES BURDINE (SUPERVISOR) |
Authorized Official Telephone | 9184831425 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
RC73017301 | OK | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
New Beginning Residential Care Home | Doing Business As Name - Organization |
Street Address |
214 S. FOURTH ST. |
City | RED BIRD |
State | OK |
Zip Code | 74458-0096 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023395787 | Barbara Burdine | Case Manager/Care Coordinator | 214 S 4th St, Redbird, OK 74458-5007 | 2011-11-09 |
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] |
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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.