Red Bird Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000933 Issued in TX

Legal business name

RED BIRD MANOR LLC

Practice address

956 FM Rd 757
Tyler, TX 75705

Phone

(903) 566-9665

Fax

(903) 566-2419

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol E Scott Hawkins

Title

Manager

Phone

(903) 566-9665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902026446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 FM RD 757",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75705",
            "telephone_number": "903-566-9665",
            "fax_number": "903-566-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 FM RD 757",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75705",
            "telephone_number": "903-566-9665",
            "fax_number": "903-566-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BIRD MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT HAWKINS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-566-9665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Chapman Reams, PSYD
• Natalie Reaves
• Tobias P. Rebmann, ACNP
• Virginia Rebollar, NP
• Kevin Joseph Records, MD
• Red River Pharmacy Long Term Care, LLC (Red River LTC of Tyler)
• Red River Pharmacy Long Term Care, LLC (Red River Infusion Pharmacy of Tyler)
• Ramachandra C Reddy, M.D.
• Rohit Kudumula Reddy, DO
• Katherine Rebecca Redman, LVN

• Assisted Living Facility in Tyler, TX
• Providers in Tyler, TX by specialty
• Assisted Living Facility in Texas

• 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.