Provider Demographics
NPI:1134945843
Name:BERTOLI HOME HEALTH LLC
Entity type:Organization
Organization Name:BERTOLI HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMONISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:BERNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTOLI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-513-4788
Mailing Address - Street 1:9433 KEMPWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-2838
Mailing Address - Country:US
Mailing Address - Phone:281-513-4788
Mailing Address - Fax:281-271-5499
Practice Address - Street 1:9433 KEMPWOOD DR STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-2838
Practice Address - Country:US
Practice Address - Phone:281-513-4788
Practice Address - Fax:281-271-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty