BDT Housing Services Enterprise

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

BDT HOUSING SERVICES ENTERPRISE

Practice address

309 Reinelli Dr
Marion, AR 72301

Phone

(901) 258-1415

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By 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

Mrs. Tracey Prince

Title

Ceo

Phone

(901) 258-1415

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1427358795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "WALLS",
            "state": "MS",
            "postal_code": "386800201",
            "telephone_number": "901-258-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 REINELLI DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "901-258-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDT HOUSING SERVICES ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-258-1415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000000000000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Barrow
• Patreece Yolanda Barton, MHPP
• Teresa Y Barton, MHPP
• Ashlee Jones Bay, MS, CCC-SLP
• Jennifer Bay, PTA
• Olivia Behrens, LMSW
• David Russell Bell Jr., D.V.M.
• Jeanneka Black, LPC
• Riqell Boga
• Tyneshia Bohanon

• Transportation Broker in Marion, AR
• Providers in Marion, AR by specialty
• Transportation Broker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.