Birmingham Health Care Center, L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

108019 Issued in TX

Legal business name

BIRMINGHAM HEALTH CARE CENTER, L.P.

Doing business as

Birmingham Health Care Center

Practice address

1383 Johnson Drive
Rusk, TX 75785-9319

Phone

(903) 683-5444

Fax

(903) 683-2923

NPI assigned

Oct 12, 2005

Last updated

Mar 26, 2008By 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. Peter J Licari

Title

President of General Partner

Phone

(215) 441-7700

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Birmingham Health Care Center Doing business as

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1154319275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DRYDEN RD E",
            "address_2": "SUITE 2000",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "19025",
            "telephone_number": "215-441-7700",
            "fax_number": "215-441-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 JOHNSON DRIVE",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757859319",
            "telephone_number": "903-683-5444",
            "fax_number": "903-683-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM HEALTH CARE CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "LICARI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "215-441-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "108019",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "115376",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "115376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birmingham Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anderson Cherokee Community Enrichment Services (Access)
• Lisa Anderson, LVN
• Stephanie Simone Atkins, COTA
• Baylor County Hospital District (Avir at Rusk)
• Stacey Rose Belcher, M.D.
• Birmingham SNF LLC (Birmingham Health Care Center)
• Stacy Lee Black, DDS PA
• Bonner Emergency Medicine Associates PA
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Shana L Brown, CNP

• Skilled Nursing Facility in Rusk, TX
• Providers in Rusk, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.