Provider Demographics
NPI:1659302388
Name:BARCLAYS HOME HEALTHCARE SERVICES,INC.
Entity type:Organization
Organization Name:BARCLAYS HOME HEALTHCARE SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING /ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOLATITO
Authorized Official - Middle Name:ADENUGA
Authorized Official - Last Name:KEHINDE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:817-276-8011
Mailing Address - Street 1:2433B SOUTH COLLINS
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014
Mailing Address - Country:US
Mailing Address - Phone:817-276-8011
Mailing Address - Fax:817-794-0610
Practice Address - Street 1:2433 B SOUTH COLLINS
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014
Practice Address - Country:US
Practice Address - Phone:817-276-8011
Practice Address - Fax:817-794-0610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D1028492291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457805Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER