Rex Burns

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

4705082 Issued in OH

Practice address

4875 Elmwood Dr
Sheffield Lake, OH 44054-1508

Phone

(440) 522-8553

NPI assigned

Sep 11, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1124633508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 ELMWOOD DR",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541508",
            "telephone_number": "440-522-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 ELMWOOD DR",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541508",
            "telephone_number": "440-522-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "REX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "4705082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4705082",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rexelent@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "personal email direct mail",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "personal email or direct mail",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personal email direct mail",
            "address_1": "4875 Elmwood Dr",
            "city": "Sheffield Lake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440541508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Achieving Nirvana Counseling
• Joshua Amburgey
• Michael Bailey
• Autumn Baker
• Amanda Bracken
• Keasia Cannon
• Krystile Carlton
• Iysha D Chambers
• City of Sheffield Lake
• Bruce Terriel Davis, LPN

• Home Health Aide in Sheffield Lake, OH
• Providers in Sheffield Lake, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.