Healthcare Provider Details

I. General information

NPI: 1659302388
Provider Name (Legal Business Name): BARCLAYS HOME HEALTHCARE SERVICES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2433 B SOUTH COLLINS
ARLINGTON TX
76014
US

IV. Provider business mailing address

2433B SOUTH COLLINS
ARLINGTON TX
76014
US

V. Phone/Fax

Practice location:
  • Phone: 817-276-8011
  • Fax: 817-794-0610
Mailing address:
  • Phone: 817-276-8011
  • Fax: 817-794-0610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number45D1028492
License Number StateTX

VIII. Authorized Official

Name: MRS. BOLATITO ADENUGA KEHINDE
Title or Position: DIRECTOR OF NURSING /ADMINSTRATOR
Credential: REGISTERED NURSE
Phone: 817-276-8011