Bird Management 1952, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

BIRD MANAGEMENT 1952, LLC

Practice address

1717 45TH St
Three Rivers, TX 78071-2649

Phone

(210) 420-5931

NPI assigned

Nov 26, 2024

Last updated

Nov 26, 2024By 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

Desiree Flores

Title

Ceo

Phone

(210) 420-5931

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1235955964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "THREE RIVERS",
            "state": "TX",
            "postal_code": "780710808",
            "telephone_number": "210-420-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 45TH ST",
            "city": "THREE RIVERS",
            "state": "TX",
            "postal_code": "780712649",
            "telephone_number": "210-420-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD MANAGEMENT 1952, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-420-5931"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atascosa Health Center, Inc. (Live Oak Community Health Center)
• Atascosa Health Center, Inc.
• Linlee Elizabeth Carbajal
• Rachel R Dockery, MD
• Holly Christine Elzey, NP
• Fci Three Rivers
• Wayne Oliver Ghans, M.D.

• Assisted Living Facility (Mental Illness) in Three Rivers, TX
• Providers in Three Rivers, TX by specialty
• Assisted Living Facility (Mental Illness) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.