Active NPI
Barnes Healthcare of FL LLC
- Durable Medical Equipment & Medical Supplies
- Gainesville, FL
National Provider Identifier
1922762004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BARNES HEALTHCARE OF FL LLC
- Practice address
- 1700 NW 80TH Blvd
Gainesville, FL 32606-9177 - Phone
- (352) 333-2525
- NPI assigned
- Oct 26, 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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1700 NW 80TH Blvd
Gainesville, FL 32606-9177
Mailing address
PO Box 1187
Valdosta, GA 31603-1187
Phone (229) 245-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105375101 | Medicaid | FL |
Other names 1
- Barnes Healthcare Services
National Provider Directory
National Provider Directory- Tax ID family
- Barnes Healthcare of FL LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1922762004",
"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": "1700 NW 80TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326069177",
"telephone_number": "352-333-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNES HEALTHCARE OF FL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-07",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105375101",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Barnes Healthcare Services",
"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 Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.