Provider Demographics
NPI:1700402690
Name:BARBER CHRISTIAN HOME CARE LLC
Entity Type:Organization
Organization Name:BARBER CHRISTIAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF AR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-732-5155
Mailing Address - Street 1:122 LINCOLN PLACE CT STE 202
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-5880
Mailing Address - Country:US
Mailing Address - Phone:217-732-5104
Mailing Address - Fax:
Practice Address - Street 1:122 LINCOLN PLACE CT STE 202
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62221-5880
Practice Address - Country:US
Practice Address - Phone:217-732-5104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health