MS. CHERYL BASTULLI NPI 1902402795

NPI Information

NPI: 1902402795
Provider Name: MS. CHERYL BASTULLI
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
1135 E 346TH ST
EASTLAKE, OH
ZIP 44095
Phone: (440) 669-0640
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MS. Cheryl Bastulli is a community based residential treatment facility, intellectual and/or developmental disabilities in Eastlake, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MS. Cheryl Bastulli NPI is 1902402795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1135 E 346TH ST
EASTLAKE, OH
ZIP 44095-947
Phone: (440) 669-0640

The enumeration date for this NPI number is 12/8/2020 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		274348	OHIO	No
2	261QA0600X	Clinic/Center	Adult Day Care	274348	OHIO	No
3	343900000X	Non-emergency Medical Transport (VAN)		274348	OHIO	No
4	347C00000X	Private Vehicle		274348	OHIO	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		274348	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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