MEDICARE: JUSTUS HOME CARE

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255279022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUSTUS HOME CARE

Provider Business Mailing Address
First Line	:	3686 WALDEN CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3686 WALDEN CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2063
Country	:	US
Telephone Number	:	859-230-4598
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OWENER
Name	:	MICHELE LYNN JACKSON
Credential	:	LSW
Telephone Number	:	859-230-4598

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “JUSTUS HOME CARE ” Practice Location

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