Provider Demographics
NPI:1659678522
Name:BARR PRIVATE CARE LLC
Entity type:Organization
Organization Name:BARR PRIVATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:VANTASELL
Authorized Official - Suffix:
Authorized Official - Credentials:BSBN,RN
Authorized Official - Phone:816-471-5151
Mailing Address - Street 1:1828 SWIFT AVE
Mailing Address - Street 2:STE. 202
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3607
Mailing Address - Country:US
Mailing Address - Phone:816-471-5151
Mailing Address - Fax:816-581-6557
Practice Address - Street 1:1828 SWIFT AVE
Practice Address - Street 2:STE. 202
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3607
Practice Address - Country:US
Practice Address - Phone:816-471-5151
Practice Address - Fax:816-581-6557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA 046 112253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care