Healthcare Provider Details

I. General information

NPI: 1902496755
Provider Name (Legal Business Name): BURLEY'S HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 GARDEN RIVER LN
RICHMOND TX
77406-2547
US

IV. Provider business mailing address

PO BOX 638
RICHMOND TX
77406-0016
US

V. Phone/Fax

Practice location:
  • Phone: 832-755-0749
  • Fax:
Mailing address:
  • Phone: 832-755-0749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: TERRIE M BURLEY
Title or Position: OWNER
Credential:
Phone: 832-755-0749