BURLESON ST. JOSEPH MANOR
NPI 1184627093
Nursing Facility/Intermediate Care Facility in Caldwell, TX

Active since May 24, 2005CLIA 45D0960678 · Waiver
1022 PRESIDENTIAL CORRIDOR EAST, CALDWELL, TX 77836(979) 567-0920(979) 567-4811 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Burleson St. Joseph Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURLESON ST. JOSEPH MANOR (NPI 1184627093) is a healthcare organization registered as a nursing facility/intermediate care facility in Caldwell, Texas and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Harold Cottrell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184627093
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBURLESON ST. JOSEPH MANOR
Location Address1022 PRESIDENTIAL CORRIDOR EASTCaldwell, TX 77836-4611
Mailing Address1022 Presidential Corridor EastCaldwell, TX 77836-4611 · (979) 567-0920 · Fax (979) 567-4811
Fax(979) 567-4811
Organization SubpartNo
Authorized OfficialHarold CottrellExecutive Director · (979) 567-0920
Enumeration DateMay 24, 2005
Last NPPES UpdateJanuary 25, 2010
NPI 1184627093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in TX · 107880
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1022 PRESIDENTIAL CORRIDOR EAST, Caldwell, TX 77836

Other Identifiers 5

Medicare UPIND86907TX
Medicaid001000513TX
Medicare OSCAR/certification675885TX
Medicare UPING58306TX
Medicare UPINB26698TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0960678

Burleson County Hospital District Dba Burleson St Joseph Manor · Caldwell, TX
Active · expires Nov 19, 2027
CLIA Number45D0960678
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorJennifer Davenport
Laboratory Phone(979) 567-0920
Laboratory LocationBurleson County Hospital District Dba Burleson St Joseph Manor1022 Presidential Corridor 21 E, Caldwell, TX 77836
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1022 PRESIDENTIAL CORRIDOR EAST
CALDWELL, TX 77836

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burleson St. Joseph Manor's NPI number?

The NPI number for Burleson St. Joseph Manor is 1184627093. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Burleson St. Joseph Manor located?

Burleson St. Joseph Manor is located at 1022 Presidential Corridor East, Caldwell, TX 77836. The listed phone number is (979) 567-0920.

What is Burleson St. Joseph Manor's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Burleson St. Joseph Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0960678) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Burleson St. Joseph Manor accept?

Health plans from UnitedHealthcare list Burleson St. Joseph Manor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Burleson St. Joseph Manor was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.