Healthcare Provider Details

I. General information

NPI: 1003252248
Provider Name (Legal Business Name): BARBERTON HEALTHCARE GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 01/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 5TH ST NE
BARBERTON OH
44203-3332
US

IV. Provider business mailing address

26691 RICHMOND RD
BEDFORD HEIGHTS OH
44146-1421
US

V. Phone/Fax

Practice location:
  • Phone: 330-615-3000
  • Fax: 330-615-3033
Mailing address:
  • Phone: 216-292-5706
  • Fax: 216-504-9063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM I. WEISBERG
Title or Position: VICE PRESIDENT
Credential:
Phone: 216-292-5706