Birchtree Residential Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

101216 Issued in AK

Legal business name

BIRCHTREE RESIDENTIAL CARE LLC

Practice address

1220 N Winding Brook Loop
Palmer, AK 99645

Phone

(907) 745-4423

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Russell Anderson Whitney

Title

Administrator

Phone

(907) 745-4423

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1053852061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996450472",
            "telephone_number": "907-745-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N WINDING BROOK LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-745-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHTREE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-745-4423",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "101216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Bingham
• Etienne Bingham, OD
• Bionic Chiropractic
• Ryan A Biornstad, M.D.
• Birch Medical Billing, LLC (Birch Medical Billing)
• Colsie Nicole Biswell, LMT
• Kacea J Bjork, LPC
• Becky Sue Black
• Brittany Alexandra Blake, DC
• Julee R Blankenship, PTA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Palmer, AK
• Providers in Palmer, AK by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.