MEDICARE: DESI HOME CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1457200461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESI HOME CARE LLC

Provider Business Mailing Address
First Line	:	11121 RADLEIGH LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-5084
Country	:	US
Telephone Number	:	502-819-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	11121 RADLEIGH LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-5084
Country	:	US
Telephone Number	:	502-819-2191
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHANDRA DAHAL
Credential	:
Telephone Number	:	502-819-2191

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	04/06/2026

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