BIRCH TREE COMMUNITIES, INC (NPI# 1912157967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912157967 |
| Entity Type | Organization |
| Organization Name | BIRCH TREE COMMUNITIES, INC |
| Other Organization Name | BENTON TOWN BRANCH |
| Practice Address |
1502 Mary Kay Blvd Benton AR 72015 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | MR. ROLANDO GARCIA (CFO) |
| Authorized Official Telephone | 5013153344 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116374726 | 05 | |
| AR | 171626526 | 05 |
| Other Name | Type Code |
|---|---|
| Benton Town Branch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285884239 | Birch Tree Communities, Inc | Community/Behavioral Health | 1506 Mary Kay Blvd., Benton, AR 72015-8909 | 2008-09-26 |
| 1770873499 | Birch Tree Communities, Inc | Community/Behavioral Health | 706 N Brown St, Clarksville, AR 72830-2732 | 2011-04-14 |
| 1831349851 | Birch Tree Communities, Inc | Community/Behavioral Health | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2008-09-26 |
| 1295985216 | Birch Tree Communities, Inc | Community/Behavioral Health | 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 | 2008-09-26 |
| 1962652941 | Birch Tree Communities, Inc | Community/Behavioral Health | 522 Mill Rd, Clarksville, AR 72830-8511 | 2008-09-25 |
| 1366692345 | Birch Tree Communities, Inc | Community/Behavioral Health | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2008-09-25 |
| 1629228606 | Birch Tree Communities, Inc | Community/Behavioral Health | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2008-09-25 |
| 1255581237 | Birch Tree Communities, Inc | Community/Behavioral Health | 210 Third St, Newport, AR 72112-3302 | 2008-09-25 |
| 1316197304 | Birch Tree Communities, Inc | Community/Behavioral Health | 1628 E Page Ave, Malvern, AR 72104-4524 | 2008-09-25 |
| Street Address |
1502 MARY KAY BLVD |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013806 | Nancy Grant-horn | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015 | 2006-02-20 |
| 1407454614 | Morgan Richardson | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1043818255 | Brenda Sparks | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1497353601 | Rebecca Worley | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1649878752 | Janey Williams | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1578161683 | Xavieria Mitchell | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1336753664 | Sarah Johnson | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-09-03 |
| 1730799685 | Samatha Walker | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015 | 2020-08-05 |
| 1427673961 | Falynn M Smith | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-06-10 |
| 1265054043 | Cameron Terrell | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922642602 | Mcclure Community Living Supports | Community/Behavioral Health | 3442 Breezeel School Rd, Benton, KY 42025-5190 | 2019-11-05 |
| 1982139770 | Fair Way Counseling, Pllc | Community/Behavioral Health | 1215 Military Rd Ste 2, Benton, AR 72015-2937 | 2017-04-29 |
| 1285884239 | Birch Tree Communities, Inc | Community/Behavioral Health | 1506 Mary Kay Blvd., Benton, AR 72015-8909 | 2008-09-26 |
| 1417126582 | Children's Evaluation &counseling Center LLC | Community/Behavioral Health | 212 W. Sevier, Benton, AR 72015 | 2008-02-22 |
| 1538102223 | Birch Tree Communities, Inc. | Community/Behavioral Health | 6701 Hwy 67 S, Bldg 4, Benton, AR 72015 | 2006-06-13 |
| 1821485764 | Ascent Children's Health Services | Community/Behavioral Health | 3214 Winchester, Benton, AR 72015-2929 | 2015-04-17 |
| 1710300439 | Birch Tree Communities, Inc. | Community/Behavioral Health | 718 Alcoa Rd, Benton, AR 72015-3406 | 2014-01-31 |
| 1174968747 | Birch Tree Communities, Inc - New Beginnings | Community/Behavioral Health | 718 Alcoa Rd, Benton, AR 72015-3406 | 2013-05-08 |
| 1255670717 | Assistance Plus | Community/Behavioral Health | 1604 Benton Ave, Benton, ME 04901-3327 | 2013-02-04 |
| 1346563178 | Centerstone of Illinois, Inc | Community/Behavioral Health | 1600 N Main St, Benton, IL 62812-1963 | 2010-03-08 |
| Find all providers in BENTON | ||||
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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.