MEDICARE: NURSES REGISTRY AND HOME HEALTH CORPORATION

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	251E00000X	Home Health Agency	299992788	FL

General Provider Information

NPI Number	:	1316177850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSES REGISTRY AND HOME HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	101 VENTURE CT
Second Line	:	SUITE 1A
City	:	LEXINGTON
State	:	KY
Zip	:	40511-2615
Country	:	US
Telephone Number	:	859-255-4411
Fax Number	:	859-253-6544

Provider Business Practice Location Address
First Line	:	4720 SALISBURY RD
Second Line	:	SUITE 107
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6101
Country	:	US
Telephone Number	:	904-685-8866
Fax Number	:	904-685-8867

Authorized Official
Title or Position	:	CEO
Name	:	MR. LENNIE G HOUSE
Credential	:
Telephone Number	:	859-255-4411

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	08/11/2010

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