Provider Demographics
NPI:1821091281
Name:BARNES HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BARNES HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-610-0089
Mailing Address - Street 1:10820 E 45TH ST
Mailing Address - Street 2:STE 301
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-3808
Mailing Address - Country:US
Mailing Address - Phone:918-610-0089
Mailing Address - Fax:918-610-0198
Practice Address - Street 1:10820 E 45TH ST
Practice Address - Street 2:STE 301
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-3808
Practice Address - Country:US
Practice Address - Phone:918-610-0089
Practice Address - Fax:918-610-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7355251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377471Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER #