Provider Demographics
NPI:1386964732
Name:BURTON HOME HEALTH CARE SERVICES, LLC
Entity type:Organization
Organization Name:BURTON HOME HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:775-790-5113
Mailing Address - Street 1:675 FAIRVIEW DR
Mailing Address - Street 2:STE. 238
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-5629
Mailing Address - Country:US
Mailing Address - Phone:775-790-5113
Mailing Address - Fax:775-392-0666
Practice Address - Street 1:675 FAIRVIEW DR
Practice Address - Street 2:STE. 238
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-5629
Practice Address - Country:US
Practice Address - Phone:775-790-5113
Practice Address - Fax:775-392-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN32652251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health