Becky Lynne Burge
Individual provider Active NPI Home Health Aide · Lowell, OH
NPI 1003038159 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1003038159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 963 Tick Hill Rd
Lowell, OH 45744-7486 - Phone
- (740) 350-0863
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
963 Tick Hill Rd
Lowell, OH 45744-7486
Mailing address
101 Dye Circle
Marietta, OH 45750-2630
Phone (740) 568-9990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2409754 | Medicaid | OH |
Other providers in Lowell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.