KINA BURRUSS (NPI# 1790197473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790197473 |
| Entity Type | Organization |
| Organization Name | KINA BURRUSS |
| Practice Address |
1501 Dogwood Trl Malvern AR 72104-4513 |
| Practice Telephone | 5013372153 |
| Mailing Telephone | 5013372153 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | KINA BURRUSS (DEVELOPMENTAL THERAPIST) |
| Authorized Official Telephone | 5013372153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 222Q00000X | AR | Agencies |
| Street Address |
1501 DOGWOOD TRL |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003191743 | Family Disability Services LLC | Day Training, Developmentally Disabled Services | 50 Cheyenne Trl, Malvern, OH 44644-9537 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
| 1801447990 | Abc Children's Academy - Clarksville Site 3 | Day Training, Developmentally Disabled Services | 105 Cherokee Ln, Clarksville, AR 72830-8014 | 2019-09-20 |
| 1679127443 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 308 E 11th St, Russellville, AR 72801-6156 | 2019-07-30 |
| 1780238550 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 110 Library Rd, Dover, AR 72837 | 2019-07-30 |
| 1134685290 | Outcomes Incorporated | Day Training, Developmentally Disabled Services | 4501 S Thompson St, Springdale, AR 72764-7464 | 2019-02-13 |
| 1154772143 | Abc Children's Academy & Developmental Center-clarksville | Day Training, Developmentally Disabled Services | 108 Cherokee Ln, Clarksville, AR 72830-8014 | 2016-06-30 |
| 1851765143 | Kidspot Plus | Day Training, Developmentally Disabled Services | 1823 Grant Ave Ste F, Jonesboro, AR 72401-6148 | 2015-11-24 |
| 1609270057 | Abc Children's Academy & Developmental Center Dover | Day Training, Developmentally Disabled Services | 105 Library Rd, Dover, AR 72837-9005 | 2014-10-14 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
| 1023450905 | Childrens Home for Life Foundation | Day Training, Developmentally Disabled Services | 644 County Road 912, Brookland, AR 72417-8658 | 2013-07-22 |
| 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.