Bersol Open Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BERSOL OPEN HOME CARE LLC

Practice address

416 Drake St SW
Cedar Rapids, IA 52404-8216

Phone

(319) 693-3621

NPI assigned

Mar 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bertin Nduwayezu

Title

Owner

Phone

(319) 693-3621

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1437785730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 DRAKE ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048216",
            "telephone_number": "319-693-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 DRAKE ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048216",
            "telephone_number": "319-693-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERSOL OPEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "NDUWAYEZU",
        "authorized_official_first_name": "BERTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-693-3621"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "EIN",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bertinwnduwayzu@gmail.com",
            "affiliation": "N",
            "address_1": "416 Drake St SW",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524048216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyle Bernard, PT
• Nickolas Bernhagen, DPT
• Judith Maria Bernhard, MD
• Mary Bernholtz, LMSW
• Donald Lee Berns, DC
• Jennifer Ellen Berst, DDS
• Martin Randall Berst, DDS
• Holly Bertsch, PTA
• Besler Enterprises
• Karen Elizabeth Besler, D.D.S.

• In Home Supportive Care Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.