Provider Demographics
NPI:1194711101
Name:BELL OAKS INC-BURTON HOUSE
Entity type:Organization
Organization Name:BELL OAKS INC-BURTON HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:B
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-539-5691
Mailing Address - Street 1:228 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGHILL
Mailing Address - State:LA
Mailing Address - Zip Code:71075-3248
Mailing Address - Country:US
Mailing Address - Phone:318-539-5691
Mailing Address - Fax:318-539-3621
Practice Address - Street 1:228 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGHILL
Practice Address - State:LA
Practice Address - Zip Code:71075-3248
Practice Address - Country:US
Practice Address - Phone:318-539-5691
Practice Address - Fax:318-539-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1717983Medicaid