Burt's Place Home for Boys

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

032931 Issued in AL

Legal business name

BURT'S PLACE HOME FOR BOYS

Practice address

901 Tuscaloosa Ave
Gadsden, AL 35901-3170

Phone

(256) 543-2036

Fax

(256) 543-9677

NPI assigned

Sep 2, 2006

Last updated

Jun 17, 2008By 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

Ms. Magdalene Wellman

Title

Executive Director

Phone

(256) 543-2036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1538261326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2295",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359030295",
            "telephone_number": "256-543-2036",
            "fax_number": "256-543-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TUSCALOOSA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013170",
            "telephone_number": "256-543-2036",
            "fax_number": "256-543-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURT'S PLACE HOME FOR BOYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "MAGDALENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-543-2036",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "032931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Burgess-Parker, CRNP
• Dana Marie Burnett, R.D.
• Dana Lowman Burns, N.P.
• Zachary Robert Burns
• Rylee Kristen Burt, DMD
• Charles David Burton, OD
• Melvin Lee Bush
• Misty G Bush
• Tyler Blake Bush
• Melanie Butts, FNP-BC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.