Healthcare Provider Details

I. General information

NPI: 1346083128
Provider Name (Legal Business Name): BARDI HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 SUMMIT PT
SNELLVILLE GA
30078-6648
US

IV. Provider business mailing address

1505 SUMMIT PT
SNELLVILLE GA
30078-6648
US

V. Phone/Fax

Practice location:
  • Phone: 678-472-0785
  • Fax:
Mailing address:
  • Phone: 678-472-0785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL O ADIGWU
Title or Position: CEO
Credential:
Phone: 678-472-0785