Kim Rae Bursley

Individual provider Active NPI Personal Care Attendant · Collins, OH

NPI 1730005208 · NPPES record last updated Jun 27, 2026

Key facts

NPI
1730005208
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
3778 Derussey Rd
Collins, OH 44826-9728
Phone
(216) 780-3070
NPI assigned
Jun 27, 2026
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X OH Yes

Addresses

Primary practice location

3778 Derussey Rd
Collins, OH 44826-9728

Mailing address

3778 Derussey Rd
Collins, OH 44826-9728

Other providers in Collins, OH

All providers in Collins, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.