Provider Demographics
NPI:1699142604
Name:BARTON FAMILY HOME CARE, LLC
Entity type:Organization
Organization Name:BARTON FAMILY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDNETHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-621-8813
Mailing Address - Street 1:4416 SOUTHMARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-8273
Mailing Address - Country:US
Mailing Address - Phone:704-754-5637
Mailing Address - Fax:704-754-5638
Practice Address - Street 1:4416 SOUTHMARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-8273
Practice Address - Country:US
Practice Address - Phone:704-754-5637
Practice Address - Fax:704-754-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3950253Z00000X
NCHC4828253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care