Organization Active NPI

Bavousett's Caring Keepers

  • In Home Supportive Care Agency
  • Cleburne, TX
National Provider Identifier
1306235775
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BAVOUSETT'S CARING KEEPERS
Practice address
405 N. Ridgeway Dr.
Suite 1-a
Cleburne, TX 76033
Phone
(817) 556-2760
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Mrs. Walterine M Bavousett
Title
Owner/ Director
Phone
(817) 556-2760

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA08704955 TX
Registered Nurse 163W00000X 619604 TX
In Home Supportive Care Agency 253Z00000X TX Primary

Addresses

Primary practice location

405 N. Ridgeway Dr.
Suite 1-a
Cleburne, TX 76033

Mailing address

405 N. Ridgeway Dr.
Suite 1-a
Cleburne, TX 76033
Phone (817) 556-2760

National Provider Directory

National Provider Directory

Locations

405 N Ridgeway Dr
Ste 1A
Cleburne, TX 76033
Phone (817) 556-2760

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1306235775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N. RIDGEWAY DR.",
            "address_2": "SUITE 1-A",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-556-2760",
            "fax_number": "817-556-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N. RIDGEWAY DR.",
            "address_2": "SUITE 1-A",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-556-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAVOUSETT'S CARING KEEPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "BAVOUSETT",
        "authorized_official_first_name": "WALTERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "817-556-2760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA08704955",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "619604",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.