Healthcare Provider Details

I. General information

NPI: 1821850116
Provider Name (Legal Business Name): RUBINO HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 MCCLURG RD
YOUNGSTOWN OH
44512-6400
US

IV. Provider business mailing address

7597 SUGAR CREEK DR
YOUNGSTOWN OH
44512-5774
US

V. Phone/Fax

Practice location:
  • Phone: 330-967-1811
  • Fax:
Mailing address:
  • Phone: 330-503-8638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID D RUBINO
Title or Position: OWNER
Credential:
Phone: 330-503-8638