Provider Demographics
NPI:1518530088
Name:BURLEE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:BURLEE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CHISM
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:972-965-1278
Mailing Address - Street 1:2005 SPRING MILLS RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2101
Mailing Address - Country:US
Mailing Address - Phone:469-870-8895
Mailing Address - Fax:
Practice Address - Street 1:2005 SPRING MILLS RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2101
Practice Address - Country:US
Practice Address - Phone:469-870-8895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX662127OtherTEXAS BOARD OF NURSING