Healthcare Provider Details

I. General information

NPI: 1053368076
Provider Name (Legal Business Name): SAV-RITE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14141 N US HIGHWAY 25 E
CORBIN KY
40701-6183
US

IV. Provider business mailing address

14141 N US HIGHWAY 25 E
CORBIN KY
40701-6183
US

V. Phone/Fax

Practice location:
  • Phone: 606-528-2515
  • Fax: 606-528-8011
Mailing address:
  • Phone: 606-528-2515
  • Fax: 606-528-8011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMG0109
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberMG0109
License Number StateKY

VIII. Authorized Official

Name: KYLE RUSSELL HUBBS
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 606-528-2515