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NPI Code Detail

MEDICARE: HOME CONVALESCENT AIDS, INC.

MEDICARE: HOME CONVALESCENT AIDS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyP01493KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104807841
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CONVALESCENT AIDS, INC.
Provider Business Mailing Address
First Line : 1113 W LEXINGTON AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1169
Country : US
Telephone Number : 859-745-4445
Fax Number : 859-745-0483
Provider Business Practice Location Address
First Line : 1113 W LEXINGTON AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1169
Country : US
Telephone Number : 859-745-4445
Fax Number : 859-745-0483
Authorized Official
Title or Position : PRESIDENT/PHARMACIST
Name : MR. DONALD KENNETH DOVE
Credential : RPH
Telephone Number : 859-745-4445
Provider Enumeration Date : 11/09/2005
Last Update Date : 04/10/2008

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1962404467 — JOHN BRAUGHTON CRNA
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Practice Fax:
1528060043 — EDWARD J. TANOUS JR. MD
Practice Location Address:
175 HOSPITAL DRIVE
WINCHESTER, KY
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1861470718 — DR. ERIC ROBERT VETTER PHARM.D.
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Practice Fax: 859-745-3452
1285685289 — MS. JACQUELYN MARIE BURRELL PHARM.D.
Practice Location Address:
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Practice Phone: 859-745-3470
Practice Fax: 859-745-3452

Directions to “HOME CONVALESCENT AIDS, INC. ” Practice Location

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