Active NPI
Bavousett's Caring Keepers
- In Home Supportive Care Agency
- Cleburne, TX
National Provider Identifier
1306235775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.