Provider Demographics
NPI:1033098595
Name:BURKS, ERICA D
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:D
Last Name:BURKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 WALFORD RD APT 6
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-7262
Mailing Address - Country:US
Mailing Address - Phone:216-785-5845
Mailing Address - Fax:
Practice Address - Street 1:8920 CARNEGIE AVE APT 812
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2949
Practice Address - Country:US
Practice Address - Phone:216-375-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400311021203251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health