Provider Demographics
NPI:1629112727
Name:PATRICIA A BARFIELD
Entity Type:Organization
Organization Name:PATRICIA A BARFIELD
Other - Org Name:CORNERSTONE RESIDENTIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:BARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-938-1690
Mailing Address - Street 1:PO BOX 1175
Mailing Address - Street 2:
Mailing Address - City:KENLY
Mailing Address - State:NC
Mailing Address - Zip Code:27542-1175
Mailing Address - Country:US
Mailing Address - Phone:919-938-1690
Mailing Address - Fax:919-938-1690
Practice Address - Street 1:366 LOCKWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27593
Practice Address - Country:US
Practice Address - Phone:919-938-1690
Practice Address - Fax:919-938-1690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
051102311ZA0620X
MHL051102311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804144Medicaid