SENIOR CITIZEN'S ACTIVITY CENTER OF BURKBURNETT INC. (NPI# 1770625915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770625915 |
| Entity Type | Organization |
| Organization Name | SENIOR CITIZEN'S ACTIVITY CENTER OF BURKBURNETT INC. |
| Practice Address |
220 E 5th St Burkburnett TX 76354-3403 |
| Practice Telephone | 9405690821 |
| Practice Fax Number | 9405692551 |
| Mailing Telephone | 9405690821 |
| Mailing Fax Number | 9405692551 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA DIANNE JACKSON (EXECUTIVE DIRECROR) |
| Authorized Official Telephone | 9405690821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332U00000X | Home Delivered Meals | 43626301 | TX | Suppliers |
| Street Address |
220 E 5TH ST |
| City | BURKBURNETT |
| State | TX |
| Zip Code | 76354-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024341 | Kaytlynn Flowers | Pharmacy Technician | 514 South Oklahoma Cutoff, Burkburnett, TX 76354 | 2020-02-12 |
| 1760983597 | Britney Sims | Licensed Vocational Nurse | 703 Meadow Dr, Burkburnett, TX 76354 | 2018-02-27 |
| 1851849897 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 1119 S. Red River Expressway, Burkburnett, TX 76354 | 2016-09-20 |
| 1669929741 | Burk Smiles Pllc | Dentist | 412 B South Ave D, Burkburnett, TX 76354 | 2016-09-06 |
| 1902004112 | Fikes Boomtown Drug | Pharmacy | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2007-07-10 |
| 1396842951 | Christopher Kevin Wyatt | Psychiatry & Neurology | 312 S Avenue D, Burkburnett, TX 76354 | 2006-09-17 |
| 1821645151 | Bryan William Harrison | Pharmacist | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2019-08-21 |
| 1730603978 | Kelly Lynn Hall | Physician Assistant | 149 Hart St, 82nd Mdos/sgop Family Practice, Sheppard Afb, TX 76354 | 2017-07-31 |
| 1548460801 | Fikes Boomtown Drug, Inc. | Durable Medical Equipment & Medical Supplies | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2007-07-24 |
| 1497219943 | Allen Wayne Durbin Jr. | Physical Therapy Assistant | 507 E 5th St, Burkburnett, TX 76354-1607 | 2019-01-29 |
| Find all providers in zip 76354 | ||||
| Taxonomy Code | 332U00000X |
| Grouping | Suppliers |
| Classification | Home Delivered Meals |
| Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
| Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454525 | Secure Hands, LLC | Home Delivered Meals | 811 Lyle West Ave Unit C, Cleveland, TX 77327 | 2020-07-14 |
| 1093271660 | Kleberg County Human Services | Home Delivered Meals | 1109 E Santa Gertrudis St, Kingsville, TX 78363-4711 | 2019-02-19 |
| 1568934511 | Vinaslist LLC | Home Delivered Meals | 100 W Pioneer Pkwy Ste 156, Arlington, TX 76010-6142 | 2018-12-31 |
| 1720556863 | Kinney County Aging Services | Home Delivered Meals | 408 S Ann St, Brackettville, TX 78832 | 2018-11-07 |
| 1326564451 | Darryl Langley | Home Delivered Meals | 10910 Orchard Springs Dr, Houston, TX 77067-3921 | 2017-08-21 |
| 1417488263 | Unbridled Faith | Home Delivered Meals | 17615 Benton City Rd, Von Ormy, TX 78073-4008 | 2017-03-23 |
| 1053765503 | Stamford Vip | Home Delivered Meals | 508 E Gould St, Stamford, TX 79553-5709 | 2016-04-21 |
| 1316307598 | Gillespie County Committee On Aging | Home Delivered Meals | 1009 N Lincoln St, Fredericksburg, TX 78624-3519 | 2016-03-01 |
| 1376913640 | Senior Citizens Services of North Texas, Inc. | Home Delivered Meals | 1000 Burnett St, Wichita Falls, TX 76301-3210 | 2015-09-30 |
| 1679941116 | City of Cross Plains | Home Delivered Meals | 108 North Main Street., Cross Plains, TX 76443 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
| City | BURKBURNETT |
| Zip Code | 76354 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.