Provider Demographics
NPI:1316674724
Name:BARFIELD, TEONN SR
Entity type:Individual
Prefix:
First Name:TEONN
Middle Name:
Last Name:BARFIELD
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-1607
Mailing Address - Country:US
Mailing Address - Phone:513-516-4147
Mailing Address - Fax:
Practice Address - Street 1:6003 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-1607
Practice Address - Country:US
Practice Address - Phone:513-516-4147
Practice Address - Fax:513-818-8668
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X, 171M00000X, 261QA0600X, 374U00000X
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0127618Medicaid
OH3121642OtherDODD