NPIMap

Organization Active NPI

Burke Center

  • Mental Illness Intermediate Care Facility
  • Kirbyville, TX
National Provider Identifier
1972653582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
BURKE CENTER
Practice address
703 W. Martin Luther King Drive
Kirbyville, TX 75956
Phone
(409) 423-3671
Fax
(936) 639-5837
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dorthey Singleton
Title
Accounting Clerk
Phone
(936) 631-6149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X TX Primary

Addresses

Primary practice location

703 W. Martin Luther King Drive
Kirbyville, TX 75956

Mailing address

PO Box 151608
Lufkin, TX 75915-1608
Phone (936) 631-6149

Other names 1

  • Kirbyville Group Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G224

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KIRBYVILLE GROUP HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 19, 1986
Last certification
Jul 23, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
703 W Martin Luther King Blvd
Kirbyville, TX 75956

National Provider Directory

National Provider Directory
Tax ID family
Burke Central20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972653582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151608",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759151608",
            "telephone_number": "936-631-6149",
            "fax_number": "936-639-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W. MARTIN LUTHER KING DRIVE",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "75956",
            "telephone_number": "409-423-3671",
            "fax_number": "936-639-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "DORTHEY",
        "authorized_official_title_or_position": "ACCOUNTING CLERK",
        "authorized_official_telephone_number": "936-631-6149"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirbyville Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kirbyville, TX

Sources for this page

Verify at the official NPI Registry.