B & W Residential Care Services

Key facts

NPI

1124336235

Entity type

Organization (NPI type 2)

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment Facility 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

Organization subpart

No

Authorized official

Name

Ms. Judith Elise Burchell, RN,BSN

Title

Chief Executive Officer (Ceo)

Phone

(860) 233-4971

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2010.

{
    "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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