BURKE CENTER (NPI# 1770636037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770636037 |
| Entity Type | Organization |
| Organization Name | BURKE CENTER |
| Other Organization Name | TEXAS HOME LIVING |
| Practice Address |
2105 N John Redditt Lufkin TX 75904 |
| Mailing Address |
Po Box 151608 Lufkin TX 75915-1608 |
| Practice Telephone | 9366395380 |
| Practice Fax Number | 9366395837 |
| Mailing Telephone | 9366395380 |
| Mailing Fax Number | 9366395837 |
| Enumeration Date | 2007-01-19 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Texas Home Living | 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 |
| 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 |
| 1083764112 | Burke Center | Intermediate Care Facility, Mental Illness | 2712 Se Stallings Dr, Nacogdoches, TX 75961-7442 | 2007-01-11 |
| 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 |
2105 N JOHN REDDITT |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033232665 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 6895 Fm 3150, Lufkin, TX 75904-6465 | 2007-04-09 |
| 1386766152 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 702 Marion St, Lufkin, TX 75904-3638 | 2007-04-04 |
| 1679695449 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | Rr 12 Box 6500, Lufkin, TX 75904-9020 | 2007-04-04 |
| 1588786354 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 1500 Southwood Dr, Lufkin, TX 75904-4946 | 2007-04-04 |
| 1215057179 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 462 White Dove Dr, Lufkin, TX 75901-9798 | 2007-04-01 |
| 1316067275 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 105 Cooper St, Lufkin, TX 75904-1805 | 2007-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
| 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.