Provider Demographics
NPI:1750839049
Name:JOYCE BURNETT-LPN
Entity type:Organization
Organization Name:JOYCE BURNETT-LPN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN HOMECARE NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:216-278-5955
Mailing Address - Street 1:17021 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-2211
Mailing Address - Country:US
Mailing Address - Phone:216-278-5955
Mailing Address - Fax:216-400-7165
Practice Address - Street 1:17021 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-2211
Practice Address - Country:US
Practice Address - Phone:216-278-5955
Practice Address - Fax:216-400-7165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH143972251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health