Healthcare Provider Details

I. General information

NPI: 1760130512
Provider Name (Legal Business Name): BURD HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S 4TH ST STE 500
LAS VEGAS NV
89101-6207
US

IV. Provider business mailing address

274 N GOODMAN ST STE A403
ROCHESTER NY
14607-1182
US

V. Phone/Fax

Practice location:
  • Phone: 585-484-1960
  • Fax:
Mailing address:
  • Phone: 585-484-1960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ADAM N BURDICK
Title or Position: CEO
Credential:
Phone: 585-484-1960