Provider Demographics
NPI:1174653067
Name:BARBEE FAMILY CARE HOME
Entity Type:Organization
Organization Name:BARBEE FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-491-4201
Mailing Address - Street 1:5412 LACY RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-1645
Mailing Address - Country:US
Mailing Address - Phone:919-491-4201
Mailing Address - Fax:919-544-1278
Practice Address - Street 1:1305 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-3205
Practice Address - Country:US
Practice Address - Phone:919-491-4201
Practice Address - Fax:919-544-1278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL032057320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804327Medicaid