Healthcare Provider Details

I. General information

NPI: 1780206516
Provider Name (Legal Business Name): BARTINO NEO CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7029 PEARL RD STE 310
MIDDLEBURG HEIGHTS OH
44130-4979
US

IV. Provider business mailing address

7029 PEARL RD STE 310
MIDDLEBURG HEIGHTS OH
44130-4979
US

V. Phone/Fax

Practice location:
  • Phone: 440-613-1500
  • Fax: 440-613-1501
Mailing address:
  • Phone: 440-613-1500
  • Fax: 440-613-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JOHN DAVID BARDWELL
Title or Position: VICE PRESIDENT
Credential:
Phone: 440-666-9117