Provider Demographics
| NPI: | 1669699070 |
|---|---|
| Name: | BARC |
| Entity type: | Organization |
| Organization Name: | BARC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | ROBERT |
| Authorized Official - Middle Name: | H |
| Authorized Official - Last Name: | SCHRAM |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 215-794-0800 |
| Mailing Address - Street 1: | 4950 YORK ROAD |
| Mailing Address - Street 2: | PO BOX 470 |
| Mailing Address - City: | HOLICONG |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 18928-0470 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 215-794-0800 |
| Mailing Address - Fax: | 215-794-0958 |
| Practice Address - Street 1: | 1941 ROSENBERGER RD |
| Practice Address - Street 2: | |
| Practice Address - City: | QUAKERTOWN |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 18951 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 215-794-0800 |
| Practice Address - Fax: | 215-794-0958 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-04-19 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | 515310 | 315P00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities |