Healthcare Provider Details

I. General information

NPI: 1154504629
Provider Name (Legal Business Name): NURSES REGISTRY AND HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 09/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 N BROADWAY
LEXINGTON KY
40505-3155
US

IV. Provider business mailing address

101 VENTURE CT
LEXINGTON KY
40511-2615
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number150110
License Number StateKY

VIII. Authorized Official

Name: MRS. VICKI S HOUSE
Title or Position: PRESIDENT
Credential:
Phone: 859-255-4411