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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NPI Details

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
1172A00000XDriver274348OHIONo
2261QA0600XClinic/CenterAdult Day Care274348OHIONo
3343900000XNon-emergency Medical Transport (VAN)274348OHIONo
4347C00000XPrivate Vehicle274348OHIONo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities274348OHIOYes

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: 11/21/2025

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