MEDICARE: BARNES HOME HEALTH CARE, 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	251E00000X	Home Health Agency	7355	OK

General Provider Information

NPI Number	:	1821091281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARNES HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	10820 E 45TH ST
Second Line	:	STE 301
City	:	TULSA
State	:	OK
Zip	:	74146-3808
Country	:	US
Telephone Number	:	918-610-0089
Fax Number	:	918-610-0198

Provider Business Practice Location Address
First Line	:	10820 E 45TH ST
Second Line	:	STE 301
City	:	TULSA
State	:	OK
Zip	:	74146-3808
Country	:	US
Telephone Number	:	918-610-0089
Fax Number	:	918-610-0198

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MR. JESSE R. BARNES
Credential	:	R.N.
Telephone Number	:	918-610-0089

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/22/2020

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