KENTUCKY HOMECARE OF HENDERSON, LLC (NPI# 1891929840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891929840 |
| Entity Type | Organization |
| Organization Name | KENTUCKY HOMECARE OF HENDERSON, LLC |
| Other Organization Name | METHODIST HOSPITAL HOMECARE |
| Practice Address |
505 Klutey Park Plaza Dr Suite A Henderson KY 42420-5224 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 2708691997 |
| Practice Fax Number | 2708691884 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | DONALD D. STELLY (PRESIDENT / COO) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 251J00000X | Nursing Care | 150140 | KY | Agencies |
| Y | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | 150140 | KY | Agencies |
| Other Name | Type Code |
|---|---|
| Methodist Hospital HomeCare | Doing Business As Name - Organization |
| Street Address |
505 KLUTEY PARK PLAZA DR SUITE A |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518908243 | Iyad A Aljabi | Pediatrics | 505 Klutey Park Plaza Dr, Henderson, KY 42420-5224 | 2006-06-10 |
| 1184789364 | Pediatric Specialists LLC | Pediatrics | 505 Klutey Park Plaza Dr, Henderson, KY 42420-5224 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093258 | At Home Hearing Providers | Home Health | 2348 Martinique Ave, Henderson, NV 89044-0315 | 2020-05-05 |
| 1003440140 | St.agatha Home Health LLC | Home Health | 11145 S Eastern Ave, Henderson, NV 89052-4384 | 2020-02-27 |
| 1922644962 | Dependable Home Health of Nevada LLC | Home Health | 2625 N Green Valley Pkwy, Henderson, NV 89014-0271 | 2019-11-25 |
| 1811546880 | Ellen Dawn Raskin | Home Health | 3237 Peaceful Shadows Ct, Henderson, NV 89052-4056 | 2019-09-11 |
| 1326508540 | Accelcare Home Health LLC | Home Health | 280 Manzanita Ranch Ln, Henderson, NV 89012-2186 | 2019-03-22 |
| 1790268118 | Perly V Gomez | Home Health | 59 Casa Del Fuego St, Henderson, NV 89012-5648 | 2018-09-11 |
| 1992284574 | Primecare Network, Inc. | Home Health | 312 S Chestnut St Ste 202, Henderson, NC 27536-4270 | 2018-08-14 |
| 1922506658 | Sally Ann Curtis | Home Health | 93 Wagon Box Rd, Henderson, NV 89012-2627 | 2018-01-29 |
| 1164933107 | Tender Care Home Health, Inc. | Home Health | 2471 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-5953 | 2017-10-17 |
| 1780193128 | Home Health and Hospice Care, Inc. | Home Health | 855 S Beckford Dr Ste A, Henderson, NC 27536-5945 | 2017-09-28 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.