MEDICARE: BARBARA'S LOVE AND CARE

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	251S00000X	Community/Behavioral Health Agency	MHL054077	NC
2	251S00000X	Community/Behavioral Health Agency	MHL054131	NC
3	251S00000X	Community/Behavioral Health Agency	MHL054108	NC

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	7805292	OTHER	NC	PROVIDER NUMBER
3	7804681	OTHER	NC	PROVIDER NUMBER
4	7804922	OTHER	NC	PROVIDER NUMBER
5	7805291	OTHER	NC	PROVIDER NUMBER
6	7804211	OTHER	NC	PROVIDER NUMBER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952431991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA'S LOVE AND CARE

Provider Business Mailing Address
First Line	:	400 GLENWOOD AVE
Second Line	:	SUITE 7
City	:	KINSTON
State	:	NC
Zip	:	28501-3870
Country	:	US
Telephone Number	:	252-527-6575
Fax Number	:	252-527-0200

Provider Business Practice Location Address
First Line	:	400 GLENWOOD AVE
Second Line	:	SUITE 7
City	:	KINSTON
State	:	NC
Zip	:	28501-3870
Country	:	US
Telephone Number	:	252-527-6575
Fax Number	:	252-527-0200

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BARBARA SMITH SHERROD
Credential	:
Telephone Number	:	252-527-6575

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	09/24/2012

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Directions to “BARBARA'S LOVE AND CARE ” Practice Location

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