BURNING TREE LIVING CENTER
NPI 1457369472
Intermediate Care Facility, Intellectual Disabilities in Baytown, TX

NPI Status: Active since August 04, 2006

Contact Information

4902 BURNING TREE DR
BAYTOWN, TX
ZIP 77521
Phone: (281) 838-1518
Fax: (713) 475-2332

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 45D2037305
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 02-22-2026

About BURNING TREE LIVING CENTER

This page provides the complete NPI Profile along with additional information for Burning Tree Living Center, a provider established in Baytown, Texas operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1457369472 assigned on August 2006. The practitioner's primary taxonomy code is 315P00000X with license number 116631 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Burning Tree Living Center. The authorized official of this NPI record is Mrs. Jerrine B Harrell (President)

NPI
1457369472
Provider Legal Name
SPECIAL TEXAS HOME INC
Other Organization Name
BURNING TREE LIVING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4902 BURNING TREE DR BAYTOWN, TX 77521
Location Phone
(281) 838-1518
Location Fax
(713) 475-2332
Mailing Address
4115 GALVESTON RD HOUSTON, TX 77017
Mailing Phone
(713) 475-2228
Mailing Fax
(713) 475-2332
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
116631
License State
TX
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JERRINE B HARRELL

Authorized Official Title
PRESIDENT
Authorized Official Phone
(218) 445-6470

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
45H114OTHER (01)TEXAS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2037305
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
February 23, 2024
Certificate Expiration Date
February 22, 2026
Laboratory Director
MARILYN S. BASHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Burning Tree Living Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457369472
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241076618414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 6 + 6 + 1 + 8 + 4 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1457369472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366565475SPECIAL TEXAS HOMES, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities4902 BURNING TREE DR
BAYTOWN, TX 77521
(281) 838-1518
1134526049DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF HOUSTON, LLC
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities4902 BURNING TREE DR
BAYTOWN, TX 77521
(713) 475-2220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457369472, enumerated in the NPI registry as an "organization" on August 04, 2006

The provider is located at 4902 Burning Tree Dr Baytown, Tx 77521 and the phone number is (281) 838-1518

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D2037305 for a "intermediate care facility for mentally retarded" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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