Provider Demographics
NPI:1346083128
Name:BARDI HOMECARE
Entity type:Organization
Organization Name:BARDI HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADIGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-472-0785
Mailing Address - Street 1:1505 SUMMIT PT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6648
Mailing Address - Country:US
Mailing Address - Phone:678-472-0785
Mailing Address - Fax:
Practice Address - Street 1:1505 SUMMIT PT
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6648
Practice Address - Country:US
Practice Address - Phone:678-472-0785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty