Healthcare Provider Details
I. General information
NPI: 1275713851
Provider Name (Legal Business Name): HOME CARE RESOURCE OF LEXINGTON, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2007
Last Update Date: 11/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
169 E REYNOLDS RD SUITE 204A
LEXINGTON KY
40517-1270
US
IV. Provider business mailing address
169 E REYNOLDS RD SUITE 204A
LEXINGTON KY
40517-1270
US
V. Phone/Fax
- Phone: 859-971-2502
- Fax:
- Phone: 859-971-2502
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
FINLEY
Title or Position: PRESIDENT
Credential:
Phone: 859-971-2502