MEDICARE: LAC ENTERPRISES, INC.

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1952269292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAC ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	2210 GOLDSMITH LN STE 209
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1038
Country	:	US
Telephone Number	:	502-458-2273
Fax Number	:	502-458-9745

Provider Business Practice Location Address
First Line	:	2210 GOLDSMITH LN STE 209
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1038
Country	:	US
Telephone Number	:	502-458-2273
Fax Number	:	502-458-9745

Authorized Official
Title or Position	:	CFO
Name	:	MICHAEL COFFEY
Credential	:
Telephone Number	:	502-458-2273

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “LAC ENTERPRISES, INC. ” Practice Location

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