RED BIRD MANOR LLC (NPI# 1902026446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902026446 |
Entity Type | Organization |
Organization Name | RED BIRD MANOR LLC |
Practice Address |
956 Fm Rd 757 Tyler TX 75705 |
Practice Telephone | 9035669665 |
Practice Fax Number | 9035662419 |
Mailing Telephone | 9035669665 |
Mailing Fax Number | 9035662419 |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. CAROL E SCOTT HAWKINS (MANAGER) |
Authorized Official Telephone | 9035669665 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 000933 | TX | Nursing & Custodial Care Facilities |
Street Address |
956 FM RD 757 |
City | TYLER |
State | TX |
Zip Code | 75705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326561010 | Susan Kemp | Occupational Therapist | 9846 State Hywy 31e, Tyler, TX 75705 | 2017-07-25 |
1629383849 | Melissa Hampton | Home Health Aide | 400 F M Road 757, Tyler, TX 75705 | 2010-08-12 |
1821079187 | Kinsman Enterprises, Inc. | Home Health | 3218 N 4th St, Longview, TX 75705 | 2005-11-12 |
1528538485 | Sophia Olewunne | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-12-04 |
1487138269 | Ericka Gordon | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-09-18 |
1831679430 | Kimberly Willhite | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-08-14 |
1952937138 | Ashley Keeter | Registered Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-19 |
1174866461 | Leslie L Isaacs | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2013-04-04 |
1235278813 | Bienville Holdings, Ltd | Home Health | 9846 State Highway 31 E, Tyler, TX 75705-2329 | 2007-02-06 |
1285235838 | Brenda Duong | Occupational Therapist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-11-02 |
Find all providers in zip 75705 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720537186 | Csl Hamptons 2016, LLC | Assisted Living Facility | 4250 Old Omen Rd, Tyler, TX 75707-2161 | 2016-09-27 |
1114292570 | East Texas Alf Reunion Inn LLC | Assisted Living Facility | 1515 Rice Rd, Tyler, TX 75703-3225 | 2012-03-19 |
1497020853 | East Texas Alf Waterton Inn LLC | Assisted Living Facility | 2885 Shiloh Rd, Tyler, TX 75703-2936 | 2012-03-19 |
1952605727 | Atria Senior Living Group, Inc | Assisted Living Facility | 3500 S Vine Ave, Tyler, TX 75701-8541 | 2011-01-07 |
1427352376 | Atria Senior Living Group, Inc. | Assisted Living Facility | 5317 New Copeland Rd, Tyler, TX 75703-3963 | 2011-01-07 |
1528242617 | Hsmtx/waterton Inn, LLC | Assisted Living Facility | 2885 Shiloh Road, Tyler, TX 75703 | 2007-12-26 |
1326234246 | Tyler I Enterprises, LLC | Assisted Living Facility | 3323 Garden Valley Rd, Tyler, TX 75702-3704 | 2007-09-25 |
1417179557 | Garden Estates of Tyler Limited Partnership | Assisted Living Facility | 2055 Grande Blvd, Tyler, TX 75703 | 2007-05-02 |
1992844757 | Creative Community Care | Assisted Living Facility | 1611 E 5th St, Tyler, TX 75701-3432 | 2007-02-06 |
1811053002 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 3505 University Blvd, Tyler, TX 75701-6618 | 2006-12-29 |
Find all providers in TYLER |
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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.