B & W Residential Care Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

B & W RESIDENTIAL CARE SERVICES

Practice address

902 Amber TRL
Monroe, GA 30655-8481

Phone

(860) 233-4971

NPI assigned

Sep 23, 2010

Last updated

Sep 30, 2010By 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

Ms. Judith Elise Burchell, RN,BSN

Title

Chief Executive Officer (Ceo)

Phone

(860) 233-4971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1124336235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SOUTH WHITNEY STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061068481",
            "telephone_number": "860-233-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 AMBER TRL",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558481",
            "telephone_number": "860-233-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & W RESIDENTIAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BURCHELL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "860-233-4971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.