MEDICARE: BURTON PLACEMENT SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1011011	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50147	OTHER		BLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number	:	1386737005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURTON PLACEMENT SERVICES, INC

Provider Business Mailing Address
First Line	:	3917 E LINCOLNWAY
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-9740
Country	:	US
Telephone Number	:	815-625-7764
Fax Number	:	815-625-9807

Provider Business Practice Location Address
First Line	:	3917 E LINCOLNWAY
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-9740
Country	:	US
Telephone Number	:	815-625-7764
Fax Number	:	815-625-9807

Authorized Official
Title or Position	:	VICE PRESIDENT ESSI/BURTON PLACEMEN
Name	:	CATHERINE SHEETS
Credential	:
Telephone Number	:	815-626-8168

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/14/2008

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