Provider Demographics
NPI: | 1669699070 |
---|---|
Name: | BARC |
Entity type: | Organization |
Organization Name: | BARC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ROBERT |
Authorized Official - Middle Name: | H |
Authorized Official - Last Name: | SCHRAM |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 215-794-0800 |
Mailing Address - Street 1: | 4950 YORK ROAD |
Mailing Address - Street 2: | PO BOX 470 |
Mailing Address - City: | HOLICONG |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 18928-0470 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 215-794-0800 |
Mailing Address - Fax: | 215-794-0958 |
Practice Address - Street 1: | 1941 ROSENBERGER RD |
Practice Address - Street 2: | |
Practice Address - City: | QUAKERTOWN |
Practice Address - State: | PA |
Practice Address - Zip Code: | 18951 |
Practice Address - Country: | US |
Practice Address - Phone: | 215-794-0800 |
Practice Address - Fax: | 215-794-0958 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-19 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | 515310 | 315P00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities |