Active NPI
Barnes Healthcare of Florida, LLC
- Developmentally Disabled Services Day Training Agency
- Tallahassee, FL
National Provider Identifier
1588337166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BARNES HEALTHCARE OF FLORIDA, LLC
- Practice address
- 2524 Cathay CT
Tallahassee, FL 32308-4248 - Phone
- (850) 894-4480
- NPI assigned
- Jul 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles W Barnes IV
- Title
- Ceo
- Phone
- (229) 245-6001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
2524 Cathay CT
Tallahassee, FL 32308-4248
Mailing address
PO Box 1187
Valdosta, GA 31603-1187
Phone (229) 245-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109733500 | Medicaid | FL |
Other names 1
- Barnes Healthcare Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0908350 | Barnes Healthcare of Florida, LLC | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Barnes Healthcare of FL LLC
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Locations
2524 Cathay Ct
Tallahassee, FL 32308
Phone (850) 894-4480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627516800000",
"number": "1588337166",
"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": "229-245-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 CATHAY CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084248",
"telephone_number": "850-894-4480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNES HEALTHCARE OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-01",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-245-6001",
"authorized_official_name_suffix": "IV"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109733500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Barnes Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.