NPIMap

Organization Active NPI

Special Texas Home Inc

Doing business as Burning Tree Living Center

  • Intellectual Disabilities Intermediate Care Facility
  • Baytown, TX
National Provider Identifier
1457369472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
116631 Issued in TX
Legal business name
SPECIAL TEXAS HOME INC
Doing business as
Burning Tree Living Center
Practice address
4902 Burning Tree Dr
Baytown, TX 77521-3004
Phone
(281) 838-1518
Fax
(713) 475-2332
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jerrine B Harrell
Title
President
Phone
(218) 445-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 116631 TX Primary

Addresses

Primary practice location

4902 Burning Tree Dr
Baytown, TX 77521-3004

Mailing address

4115 Galveston Rd
Houston, TX 77017-2518
Phone (713) 475-2228

Other identifiers 1

IdentifierTypeStateIssuer
45H114OtherTEXAS

Other names 1

  • Burning Tree Living Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bosworth Living Center26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457369472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 GALVESTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770172518",
            "telephone_number": "713-475-2228",
            "fax_number": "713-475-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 BURNING TREE DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213004",
            "telephone_number": "281-838-1518",
            "fax_number": "713-475-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL TEXAS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JERRINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-445-6470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "116631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "45H114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burning Tree Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.