Birch Manor Group Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL-001-221 Issued in NC

Legal business name

BIRCH MANOR GROUP HOME

Practice address

420 Birch CT
Burlington, NC 27217-2823

Phone

(336) 270-3014

Fax

(336) 270-3014

NPI assigned

Jun 6, 2012

Last updated

Jun 6, 2012By 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

Robert L Robinson

Title

Director/Owner

Phone

(336) 270-3014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1528329448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160015",
            "telephone_number": "336-270-3014",
            "fax_number": "336-270-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BIRCH CT",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172823",
            "telephone_number": "336-270-3014",
            "fax_number": "336-270-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH MANOR GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "336-270-3014"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-001-221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BFP Medical Group II LLC
• BFP Medical Group PA (Barlington Family Practice)
• Khiamber Bigelow
• Sandra Haefner Bigner, MD
• Bio-Medical Applications of North Carolina, Inc. (Bma Burlington)
• Ragen Birchall
• Andrew David Bissell, NCC, LPC
• Gayla Renee Bivens, D.D.S.
• BJ's Wholesale Club Inc.
• Hailey Nicole Blackburn, PT

• Assisted Living Facility (Mental Illness) in Burlington, NC
• Providers in Burlington, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.