Provider Demographics
NPI:1952431991
Name:BARBARA'S LOVE AND CARE
Entity Type:Organization
Organization Name:BARBARA'S LOVE AND CARE
Other - Org Name:BARBARA'S LOVING CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:SHERROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-527-6575
Mailing Address - Street 1:400 GLENWOOD AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-3870
Mailing Address - Country:US
Mailing Address - Phone:252-527-6575
Mailing Address - Fax:252-527-0200
Practice Address - Street 1:400 GLENWOOD AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-3870
Practice Address - Country:US
Practice Address - Phone:252-527-6575
Practice Address - Fax:252-527-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL054077251S00000X
NCMHL054108251S00000X
NCMHL054131251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418195Medicaid
NC7805292OtherPROVIDER NUMBER
NC7804681OtherPROVIDER NUMBER
NC7804922OtherPROVIDER NUMBER
NC7805291OtherPROVIDER NUMBER
NC7804211OtherPROVIDER NUMBER
NC8300891Medicaid