Provider Demographics
NPI:1851963409
Name:BARKA CARING LIVING LLC
Entity Type:Organization
Organization Name:BARKA CARING LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAZIMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-412-9127
Mailing Address - Street 1:5143 MORNING GRAZE
Mailing Address - Street 2:
Mailing Address - City:SAINT HEDWIG
Mailing Address - State:TX
Mailing Address - Zip Code:78152-0199
Mailing Address - Country:US
Mailing Address - Phone:915-412-9127
Mailing Address - Fax:
Practice Address - Street 1:5143 MORNING GRAZE
Practice Address - Street 2:
Practice Address - City:SAINT HEDWIG
Practice Address - State:TX
Practice Address - Zip Code:78152-0199
Practice Address - Country:US
Practice Address - Phone:915-412-9127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management