MEDICARE: BARNES HOME HEALTH,LLC

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	302R00000X	Health Maintenance Organization	009012	TX

General Provider Information

NPI Number	:	1942295472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARNES HOME HEALTH,LLC

Provider Business Mailing Address
First Line	:	2440 TEXAS PKWY STE 228
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4000
Country	:	US
Telephone Number	:	281-208-2527
Fax Number	:	281-208-2567

Provider Business Practice Location Address
First Line	:	2440 TEXAS PKWY STE 228
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4000
Country	:	US
Telephone Number	:	281-208-2527
Fax Number	:	281-208-2567

Authorized Official
Title or Position	:	CFO/ OWNER
Name	:	MR. EMANUEL LEE BARNES
Credential	:	REV EMANUEL BARNES
Telephone Number	:	713-956-2111

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	08/22/2020

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