Burnes West Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

BH3369 Issued in AZ

Legal business name

BURNES WEST HOME

Doing business as

Burnes West Home

Practice address

15266 N 145TH LN
Surprise, AZ 85379-8519

Phone

(480) 857-0047

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By 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

Jared Anthony Griffin

Title

Sponsor

Phone

(480) 857-0047

Specialties & licenses 1

Addresses

Other names 1

• Burnes West Home Doing business as

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1346471570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15266 N 145TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798519",
            "telephone_number": "480-857-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15266 N 145TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798519",
            "telephone_number": "480-857-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNES WEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SPONSOR",
        "authorized_official_telephone_number": "480-857-0047"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH3369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnes West Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francis Burgos, M.D.
• Cindy Ann Burk, M.S.,C.C.C.-SLP
• Amanda Lynn Burkhardt, PT, MPT
• Alicia Burks, R. N.
• Gabriela Cristina Burlacu, MANAGER
• Courtney Burnett
• Kristen Burnsmith, LPC
• Cassandra Lauren Burruel Cook
• Gerald R. Bush, MD
• Shain Lenae Bussell, CBCS

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.