Organization Active NPI

Burnham Brook

  • Case Management Agency
  • Battle Creek, MI
National Provider Identifier
1518053347
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BURNHAM BROOK
Practice address
200 W Michigan Ave
Battle Creek, MI 49017
Phone
(269) 966-2475
Fax
(269) 966-2493
NPI assigned
Oct 5, 2006
Last updated
Jun 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Authorized official

Name
Mrs. Karla Ann Fales
Title
Ceo
Phone
(800) 626-6719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

200 W Michigan Ave
Battle Creek, MI 49017

Mailing address

200 W Michigan Ave
Battle Creek, MI 49017
Phone (269) 966-2475

Other identifiers 1

IdentifierTypeStateIssuer
04508953MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Burnham Brook2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1518053347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MICHIGAN AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49017",
            "telephone_number": "269-966-2475",
            "fax_number": "269-966-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MICHIGAN AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49017",
            "telephone_number": "269-966-2475",
            "fax_number": "269-966-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNHAM BROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "FALES",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-626-6719",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04508953",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.