Healthcare Provider Details

I. General information

NPI: 1982251674
Provider Name (Legal Business Name): RUTH CELESTE BARKER-DAVIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. RUTH CELESTE BARKER

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 VANDENBURG RD
KING OF PRUSSIA PA
19406-1565
US

IV. Provider business mailing address

751 VANDENBURG RD
KING OF PRUSSIA PA
19406-1565
US

V. Phone/Fax

Practice location:
  • Phone: 215-605-8238
  • Fax:
Mailing address:
  • Phone: 215-605-8238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN613270
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: