Barksdale Health Care Service Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

0011L001 Issued in NY

Legal business name

BARKSDALE HEALTH CARE SERVICE INC.

Practice address

327 Fifth Ave
Pelham, NY 10803-1203

Phone

(914) 738-5600

Fax

(914) 738-0678

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rosa Kittrell Barksdale

Title

Ceo

Phone

(914) 738-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013061449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031203",
            "telephone_number": "914-738-5600",
            "fax_number": "914-738-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031203",
            "telephone_number": "914-738-5600",
            "fax_number": "914-738-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARKSDALE HEALTH CARE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARKSDALE",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "KITTRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-738-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "0011L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01157753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.