NPIMap

Organization Active NPI

Barnes Healthcare of FL LLC

Doing business as Barnes Healthcare Service

  • Pharmacy
  • Gainesville, FL
National Provider Identifier
1053392928
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BARNES HEALTHCARE OF FL LLC
Doing business as
Barnes Healthcare Service
Practice address
1700 NW 80TH Blvd
Gainesville, FL 32606-9177
Phone
(352) 333-2525
Fax
(352) 333-2532
NPI assigned
Nov 8, 2005
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Mr. Charlie W Barnes IV
Title
Owner/Ceo
Phone
(229) 245-6001

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993216 FL
Durable Medical Equipment & Medical Supplies 332B00000X 5780 FL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 5780 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 5780 FL
Pharmacy 333600000X NU Primary
Home Infusion Therapy Pharmacy 3336H0001X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

1700 NW 80TH Blvd
Gainesville, FL 32606-9177

Mailing address

PO Box 1187
Valdosta, GA 31603-1187
Phone (229) 245-6039

Other identifiers 4

IdentifierTypeStateIssuer
102459100MedicaidFL
1053392928OtherFLMED WAIVER
102459101MedicaidFL
105375100MedicaidFL

Other names 1

  • Barnes Healthcare Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100505000837 FL Part B Supplier - Pharmacy 8123156536 Practice locations: Gainesville, FL
O20100930009650 FL DME Supplier - PharmacyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company 8123156536 Practice locations: Gainesville, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Barnes Healthcare of FL LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4001 Newberry Rd
Ste E1
Gainesville, FL 32607
Phone (352) 373-7010

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1053392928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316031187",
            "telephone_number": "229-245-6039",
            "fax_number": "888-276-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 80TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326069177",
            "telephone_number": "352-333-2525",
            "fax_number": "352-333-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES HEALTHCARE OF FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-05-06",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "229-245-6001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993216",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "5780",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "5780",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "5780",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102459100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED WAIVER",
            "identifier": "1053392928",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102459101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105375100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes Healthcare Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.