Provider Demographics
NPI:1366018939
Name:COLLEEN BARBIER ADULT FAMILY CARE HOME
Entity type:Organization
Organization Name:COLLEEN BARBIER ADULT FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:KITTY
Authorized Official - Last Name:BARBIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-736-6581
Mailing Address - Street 1:1397 W 35TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-2919
Mailing Address - Country:US
Mailing Address - Phone:561-412-5898
Mailing Address - Fax:561-855-6921
Practice Address - Street 1:1397 W 35TH ST
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-2919
Practice Address - Country:US
Practice Address - Phone:561-412-5898
Practice Address - Fax:561-855-6921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home