Provider Demographics
NPI:1154218014
Name:BARKSDALE PERSONAL CARE HOME
Entity type:Organization
Organization Name:BARKSDALE PERSONAL CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARKSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-567-8491
Mailing Address - Street 1:242 N OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:ELBERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30635-1444
Mailing Address - Country:US
Mailing Address - Phone:706-567-8491
Mailing Address - Fax:706-567-8491
Practice Address - Street 1:242 N OLIVER ST
Practice Address - Street 2:
Practice Address - City:ELBERTON
Practice Address - State:GA
Practice Address - Zip Code:30635-1444
Practice Address - Country:US
Practice Address - Phone:706-567-8491
Practice Address - Fax:706-567-8491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251G00000XAgenciesHospice Care, Community Based