Pauline Burton

Individual provider Active NPI Personal Care Attendant · Jefferson, TX

NPI 1073018552 · NPPES record last updated Mar 27, 2018

Key facts

NPI
1073018552
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
120 N Walnut St
Jefferson, TX 75657-1934
Phone
(903) 665-6131
Fax
(903) 665-7244
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
First in Pediatrics Home Health Care, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

120 N Walnut St
Jefferson, TX 75657-1934

Mailing address

PO Box 901
Jefferson, TX 75657-0901
Phone (903) 665-6131

Other providers in Jefferson, TX

All providers in Jefferson, TX · Personal Care Attendant in Texas

Sources for this page

Verify at the official NPI Registry.