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NPI Code Detail

MEDICARE: A TSPOON OF HEALING HEALTH CARE SERVICES LLC

MEDICARE: A TSPOON OF HEALING HEALTH CARE SERVICES 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1760081160
Entity Type Code : Organization
Provider Name (Legal Business Name) : A TSPOON OF HEALING HEALTH CARE SERVICES LLC
Provider Business Mailing Address
First Line : 3951 BARDSTOWN RD STE 5
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-2609
Country : US
Telephone Number : 502-290-0539
Fax Number : 502-290-0539
Provider Business Practice Location Address
First Line : 3951 BARDSTOWN RD STE 5
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-2609
Country : US
Telephone Number : 502-290-0539
Fax Number : 502-290-0539
Authorized Official
Title or Position : OWNER
Name : MRS. LYNDA JANE MCCLELLAN
Credential : LPN
Telephone Number : 502-413-1992
Provider Enumeration Date : 10/19/2020
Last Update Date : 05/17/2021

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Directions to “A TSPOON OF HEALING HEALTH CARE SERVICES LLC ” Practice Location

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