MR. EDDIE REGINALD BURSTON II

Address: 12727 Camino Emparrado, San Diego, CA 92128
Phone: 8582659992

MR. EDDIE REGINALD BURSTON II (NPI# 1376034348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376034348
Entity Type Individual
Full Name MR. EDDIE REGINALD BURSTON II
Practice Address 12727 Camino Emparrado
San Diego
CA 92128
Mailing Address 19612 Villa Ct Ehs7
Southfield
MI 48076
Practice Telephone 8582659992
Practice Fax Number 8587985221
Mailing Telephone 8582659992
Mailing Fax Number 8587985221
Enumeration Date 2018-05-24
Last Update Date 2018-05-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care B8163X MI Agencies
Y 253Z00000X In Home Supportive Care 7516084757 CA Agencies

Office Location

Street Address 12727 CAMINO EMPARRADO
City SAN DIEGO
State CA
Zip Code 92128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1346623634 Angela Christine Storck-Petersen Dietitian, Registered 11768 Caminito Corriente, San Diego, CA 92128 2015-07-04
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
1730595570 Charity Fluegge Developmental Therapist 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 2014-07-01
Find all providers in zip 92128

Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437758000 My Little Helpers LLC In Home Supportive Care 16959 Bernardo Center Dr Ste 104, San Diego, CA 92128-2554 2020-10-23
1598377871 360 Caregivers Home Agency LLC In Home Supportive Care 15870 Camino San Bernardo Apt 133, San Diego, CA 92127-2367 2020-08-19
1679184014 Cdm Living Life, Inc. In Home Supportive Care 3665 Ruffin Rd Ste 100, San Diego, CA 92123-1871 2020-08-10
1013525955 Compassionate In-Home Care LLC In Home Supportive Care 4124 Via Candidiz Unit 142, San Diego, CA 92130-3159 2020-07-16
1073136487 Jmjnt Corporation In Home Supportive Care 16766 Bernardo Center Dr Ste 200, San Diego, CA 92128-2502 2020-05-20
1750915591 Elegant Legacy Home Care and Rehab LLC In Home Supportive Care 12180 Ragweed St, San Diego, CA 92129-4104 2020-03-02
1891325221 Kevory Enterprises, Inc In Home Supportive Care 11722 Sorrento Valley Rd Ste G, San Diego, CA 92121-1021 2020-01-24
1295384279 Brighter Life In Home Supportive Care 3125 Pasternack Pl, San Diego, CA 92123-3058 2019-09-11
1093368532 Hisc 158 Inc In Home Supportive Care 8775 Aero Dr Ste 235, San Diego, CA 92123-1756 2019-07-23
1538712401 First Meridian Care Services, Inc. In Home Supportive Care 4545 Murphy Canyon Rd Ste 204, San Diego, CA 92123-4363 2019-07-19
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.