Healthcare Provider Details

I. General information

NPI: 1376577361
Provider Name (Legal Business Name): NR HOME INFUSION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 VENTURE CT
LEXINGTON KY
40511-2615
US

IV. Provider business mailing address

101 VENTURE CT
LEXINGTON KY
40511-2615
US

V. Phone/Fax

Practice location:
  • Phone: 859-255-4411
  • Fax: 859-253-6614
Mailing address:
  • Phone: 859-255-4411
  • Fax: 859-253-6614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number081744
License Number StateKY

VIII. Authorized Official

Name: LENNIE G. HOUSE
Title or Position: CEO
Credential:
Phone: 859-255-4411