Provider Demographics
NPI:1619032257
Name:BARICARE,INC
Entity Type:Organization
Organization Name:BARICARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-964-6528
Mailing Address - Street 1:8404 WILMETTE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5467
Mailing Address - Country:US
Mailing Address - Phone:630-964-6528
Mailing Address - Fax:630-964-3107
Practice Address - Street 1:8404 WILMETTE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5467
Practice Address - Country:US
Practice Address - Phone:630-964-6528
Practice Address - Fax:630-964-3107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========6056101Medicaid
IL=========6056101Medicaid