Individual provider · NPI-1

Roxanne Burnett

Home Health Aide · Cleveland, OH

NPI number1760990758

StatusActive

Last updated in NPPESSep 29, 2023

Details

NPI: 1760990758
Entity type: Individual (NPI-1)
Name: Roxanne Burnett
Sex: Female
Sole proprietor: Yes
Enumeration date: Jan 12, 2018
Certification date: Sep 29, 2023
Last updated: Sep 29, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
374U00000X	Home Health Aide	–	OH	Yes
171W00000X	Contractor	–	OH
171WH0202X	Contractor, Home Modifications	–	OH
251E00000X	Home Health	–	OH
251T00000X	PACE Provider Organization	–	–
253Z00000X	In Home Supportive Care	–	–
332U00000X	Home Delivered Meals	–	OH
372500000X	Chore Provider	–	OH
372600000X	Adult Companion	–	OH
3747P1801X	Technician, Personal Care Attendant	–	OH
374J00000X	Doula	–	OH
376J00000X	Homemaker	–	OH
376K00000X	Nurse's Aide	–	OH

Practice location

11730 Robertson Ave
Cleveland, OH 44105-6223

Phone 440-340-3777

Mailing address

16781 Chagrin Blvd Ste 175
Shaker Heights, OH 44120-3721

Phone 440-340-3777

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