DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JULIA RIBAUDO HEALTHCARE GROUP, LLC

MEDICARE: JULIA RIBAUDO HEALTHCARE GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility101802PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831498567
Entity Type Code : Organization
Provider Name (Legal Business Name) : JULIA RIBAUDO HEALTHCARE GROUP, LLC
Provider Business Mailing Address
First Line : 23700 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5827
Country : US
Telephone Number : 216-292-5706
Fax Number :
Provider Business Practice Location Address
First Line : 1404 GOLF PARK DR
Second Line :
City : LAKE ARIEL
State : PA
Zip : 18436-4252
Country : US
Telephone Number : 570-698-5647
Fax Number : 570-698-7742
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM I WEISBERG
Credential :
Telephone Number : 216-292-5706
Provider Enumeration Date : 03/21/2011
Last Update Date : 01/14/2022

Similar Medicare Providers

1336142652 — JULIA RIBAUDO SENIOR SERVICES, LLC
Practice Location Address:
1404 GOLF PARK DR
LAKE ARIEL, PA
18436-4252
Practice Phone: 570-698-5647
Practice Fax: 570-698-7742
1013325869 — SUSAN O'SHEA M.S.SLPCCC
Practice Location Address:
1404 GOLF PARK DR
LAKE ARIEL, PA
18436-4252
Practice Phone: 570-698-5647
Practice Fax: 570-698-7742
1154739985 — TAMMIE HINTON OTA/L,LMT
Practice Location Address:
1404 GOLF PARK DR
LAKE ARIEL, PA
18436-4252
Practice Phone: 570-698-5647
Practice Fax:
1174931984 — RICHARD CHOWANEC OTA/L
Practice Location Address:
1404 GOLF PARK DR
LAKE ARIEL, PA
18436-4252
Practice Phone: 570-698-5647
Practice Fax: 570-698-7742
1619385242 — HEATHER BERGENSTEN
Practice Location Address:
1404 GOLF PARK DR
LAKE ARIEL, PA
18436-4252
Practice Phone: 570-698-5647
Practice Fax:
1679981807 — KERRI MAZUR
Practice Location Address:
1404 GOLF PARK DR
LAKE ARIEL, PA
18436-4252
Practice Phone: 570-698-5647
Practice Fax:

Directions to “JULIA RIBAUDO HEALTHCARE GROUP, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.