RED BIRD MANOR LLC


Address: 956 Fm Rd 757, Tyler, TX 75705
Phone: 9035669665

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 000933 TX Nursing & Custodial Care Facilities

Office Location

Street Address 956 FM RD 757
City TYLER
State TX
Zip Code 75705

Providers in the same zip code

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 Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City TYLER
Zip Code 75705

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Dataset Information

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.

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