Burke Rest Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL012001 Issued in NC

Legal business name

BURKE REST HOME INC

Practice address

125 Camellia Garden St
Morganton, NC 28655-8207

Phone

(828) 433-5875

Fax

(828) 433-7022

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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

Mr. James C Kim

Title

Administration

Phone

(828) 433-5875

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Burke Rest Home Inc2 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.

• Quaker Meadows FCH - Burke Rest Home Inc

  • Assisted Living Facility
  • Morganton, NC
  • NPI 1164556072
  NPD tax ID

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922131051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CAMELLIA GARDEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558207",
            "telephone_number": "828-433-5875",
            "fax_number": "828-433-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CAMELLIA GARDEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558207",
            "telephone_number": "828-433-5875",
            "fax_number": "828-433-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE REST HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "828-433-5875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL012001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801416",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burke Pharmacy Inc
• Burke Pharmacy Inc
• Burke Pharmacy Inc
• Burke Primary Care, LLC
• Burke Psychosocial Services, Inc. (Brighter House)
• Gregory Roth Burmeister, LPA
• Anthony Thomas Burnett, MD
• Kyle David Burnette II, DO
• Elizabeth Hemby Burrow, MSW, LCSWA, LCASA
• Derrick James Bush, DMD

• Assisted Living Facility in Morganton, NC
• Providers in Morganton, NC by specialty
• Assisted Living Facility in North Carolina

• 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.