MEDICARE: TELEHEALTH HOLDINGS, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1275889420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELEHEALTH HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	950 CONTRACT ST
Second Line	:	SUITE 100
City	:	LEXINGTON
State	:	KY
Zip	:	40505-3664
Country	:	US
Telephone Number	:	210-222-2067
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 CONTRACT ST
Second Line	:	SUITE 100
City	:	LEXINGTON
State	:	KY
Zip	:	40505-3664
Country	:	US
Telephone Number	:	866-965-9200
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JEROME HAHN
Credential	:
Telephone Number	:	210-222-2067

Provider Enumeration Date	:	07/25/2012
Last Update Date	:	07/25/2012

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