=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295870178
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATRICIA A BARFIELD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2007
-----------------------------------------------------
Last Update Date | 07/24/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4449 WILSON MILLS ROAD
-----------------------------------------------------
City | CLAYTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27593
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-938-1690
-----------------------------------------------------
Fax | 919-938-1690
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1175
-----------------------------------------------------
City | KENLY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-938-1690
-----------------------------------------------------
Fax | 919-938-1690
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. PATRICIA A BARFIELD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 919-938-1690
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number | 061049
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number | MHL051145
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------