Provider Demographics
NPI:1770258261
Name:BURTONHOMECARE AGENCY
Entity Type:Organization
Organization Name:BURTONHOMECARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:DENICE
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED NURSES AID
Authorized Official - Phone:412-499-2564
Mailing Address - Street 1:1502 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-2650
Mailing Address - Country:US
Mailing Address - Phone:412-499-2564
Mailing Address - Fax:
Practice Address - Street 1:1502 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-2650
Practice Address - Country:US
Practice Address - Phone:412-583-7163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care