=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528558855
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BARFIELD HEALTH CARE ACQUISITION CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2018
-----------------------------------------------------
Last Update Date | 05/11/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22444 US HIGHWAY 431
-----------------------------------------------------
City | GUNTERSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35976-8520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-582-3112
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 PERRY HILL RD
-----------------------------------------------------
City | MONTGOMERY
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36109-3630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-273-9002
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | CHRISTOPHER SCHMIDT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 334-273-9002
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------