Healthcare Provider Details

I. General information

NPI: 1265349336
Provider Name (Legal Business Name): THEBARBIELABEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 STONEHAVEN RD
SOUTH EUCLID OH
44121-2613
US

IV. Provider business mailing address

12109 MARNE AVE
CLEVELAND OH
44111-4655
US

V. Phone/Fax

Practice location:
  • Phone: 216-210-3429
  • Fax:
Mailing address:
  • Phone: 216-210-3429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. CEAIRA NICOLE BOST
Title or Position: MANAGING MEMBER
Credential:
Phone: 216-210-3429