Healthcare Provider Details
I. General information
NPI: 1821358201
Provider Name (Legal Business Name): INPATIENTCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2012
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3050 RIO DOSA DR
LEXINGTON KY
40509-1540
US
IV. Provider business mailing address
PO BOX 910336
LEXINGTON KY
40591-0336
US
V. Phone/Fax
- Phone: 859-269-8385
- Fax:
- Phone: 859-317-8714
- Fax: 859-368-7681
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FADI
BACHA
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 859-317-8714