Provider Demographics
NPI:1700394228
Name:BARZAGA CARE SERVICES, INC.
Entity type:Organization
Organization Name:BARZAGA CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAQUELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ BARZAGA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:786-458-0031
Mailing Address - Street 1:18646 NW 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-5307
Mailing Address - Country:US
Mailing Address - Phone:786-458-0031
Mailing Address - Fax:
Practice Address - Street 1:18646 NW 53RD AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-5307
Practice Address - Country:US
Practice Address - Phone:786-458-0031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty