1659678522 NPI number — BARR PRIVATE CARE LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659678522 NPI number — BARR PRIVATE CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARR PRIVATE CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659678522
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1828 SWIFT AVE
Provider Second Line Business Mailing Address:
STE. 202
Provider Business Mailing Address City Name:
NORTH KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64116-3607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-471-5151
Provider Business Mailing Address Fax Number:
816-581-6557

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1828 SWIFT AVE
Provider Second Line Business Practice Location Address:
STE. 202
Provider Business Practice Location Address City Name:
NORTH KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64116-3607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-471-5151
Provider Business Practice Location Address Fax Number:
816-581-6557
Provider Enumeration Date:
02/11/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VANTASELL
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
EILEEN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
816-471-5151

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  A 046 112 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)