Look up the most recent NPI and PECOS records

Barium Springs Home For Children

(<Unavail>)

Community/Behavioral Health

Agencies

8358 Six Forks Rd, Ste 203, Raleigh, NC 27615-5093

PECOS Enrollment

Based on the most recent information from CMS, provider Barium Springs Home For Children does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1093170623
Provider Type
Organization
Full Name
Barium Springs Home For Children
Other Name
<Unavail>

Subpart
Yes
Enumeration Date
12/28/2015
Last Updated
12/28/2015

Contact Information

Practice Location

8358 Six Forks Rd, Ste 203, Raleigh, NC 27615-5093

(919) 610-8805

(919) 986-6440

Mailing Location

PO Box 1, Barium Springs, NC 28010-0001

(704) 873-1011

(704) 832-2253

Authorized Official

Koppelmeyer, John Edward (President/Ceo)

(704) 873-1011

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 2084F0202X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0802X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0804X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363LP0808X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Barium Springs Home For Children

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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