Provider Demographics
NPI:1447036728
Name:BARI CARE HOMES LLC
Entity type:Organization
Organization Name:BARI CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTED LIVING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:KERUBO
Authorized Official - Last Name:NYAENYA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:612-242-9786
Mailing Address - Street 1:8830 NEVADA AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-2657
Mailing Address - Country:US
Mailing Address - Phone:612-242-9786
Mailing Address - Fax:
Practice Address - Street 1:14741 NEON ST NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-9129
Practice Address - Country:US
Practice Address - Phone:612-242-9786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility