Provider Demographics
NPI:1205945847
Name:BARBARA'S NEW BEGINNINGS,LLC
Entity type:Organization
Organization Name:BARBARA'S NEW BEGINNINGS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-432-9939
Mailing Address - Street 1:4705 ILLINOIS RD STE 113B
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-5108
Mailing Address - Country:US
Mailing Address - Phone:260-432-9939
Mailing Address - Fax:260-434-0419
Practice Address - Street 1:4705 ILLINOIS RD STE 113B
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-5108
Practice Address - Country:US
Practice Address - Phone:260-432-9939
Practice Address - Fax:260-434-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN6204260001335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN$$$$$$$$$OtherSSN
IN6204260001Medicare NSC