Kristen Denys Bartley

Individual provider Active NPI In Home Supportive Care Agency · Lakewood, OH

NPI 1407535917 · NPPES record last updated Jul 12, 2023

Key facts

NPI
1407535917
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
2058 Waterbury Rd
Lakewood, OH 44107-6213
Phone
(614) 230-1102
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

2058 Waterbury Rd
Lakewood, OH 44107-6213

Mailing address

2058 Waterbury Rd
Lakewood, OH 44107-6213
Phone (614) 230-1102

Other providers in Lakewood, OH

All providers in Lakewood, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.