Healthcare Provider Details

I. General information

NPI: 1346106499
Provider Name (Legal Business Name): KEEP YOUR HEART AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 HATFIELD ST
CORBIN KY
40701-1144
US

IV. Provider business mailing address

228 HATFIELD ST
CORBIN KY
40701-1144
US

V. Phone/Fax

Practice location:
  • Phone: 606-245-1636
  • Fax:
Mailing address:
  • Phone: 606-245-1636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JESSICA J NELSON
Title or Position: OWNER/WORKER/DIRECTOR
Credential: CNA
Phone: 606-245-1636