MEDICARE: BARBS PLACE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235790676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBS PLACE INC.

Provider Business Mailing Address
First Line	:	4287 SW 130TH AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3180
Country	:	US
Telephone Number	:	305-684-2909
Fax Number	:

Provider Business Practice Location Address
First Line	:	4287 SW 130TH AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3180
Country	:	US
Telephone Number	:	305-684-2909
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHAROCKA WATERS
Credential	:
Telephone Number	:	305-684-2909

Provider Enumeration Date	:	06/26/2019
Last Update Date	:	04/14/2026

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Directions to “BARBS PLACE INC. ” Practice Location

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