NPI Code Details Logo

NPI 1689465171

NPI 1689465171 : BARBARAKARES OF SOUTHWEST GEORGIA INC : MILLEDGEVILLE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689465171
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BARBARAKARES OF SOUTHWEST GEORGIA INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/14/2025
-----------------------------------------------------
    Last Update Date     |    05/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    560 W MLK JR DR STE G 
-----------------------------------------------------
    City                 |    MILLEDGEVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31061-2769
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    478-234-0070
-----------------------------------------------------
    Fax                  |    478-387-4404
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    560 W MLK JR DR STE G 
-----------------------------------------------------
    City                 |    MILLEDGEVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31061-2769
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    478-234-0070
-----------------------------------------------------
    Fax                  |    478-387-4404
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MR. JOSHUA  FLOURNOY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    478-234-0070
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.