MEDICARE: BURD HOME HEALTH LLC

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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841854825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURD HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	4022 E GREENWAY RD STE 11
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4733
Country	:	US
Telephone Number	:	623-207-8102
Fax Number	:	585-545-7470

Provider Business Practice Location Address
First Line	:	177 N CHURCH AVE STE 700
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85701-1119
Country	:	US
Telephone Number	:	602-609-3436
Fax Number	:	585-545-7470

Authorized Official
Title or Position	:	EVP
Name	:	DAVID J. SHUEY II
Credential	:
Telephone Number	:	602-609-3436

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	01/20/2025

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Directions to “BURD HOME HEALTH LLC ” Practice Location

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