Healthcare Provider Details

I. General information

NPI: 1336931575
Provider Name (Legal Business Name): NORDIC HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2257 EXECUTIVE DR
LEXINGTON KY
40505-4809
US

IV. Provider business mailing address

8300 VAUGHN MILL RD
LOUISVILLE KY
40228-2330
US

V. Phone/Fax

Practice location:
  • Phone: 502-999-2271
  • Fax:
Mailing address:
  • Phone: 502-999-2271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER WAYNE JONES
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 502-999-2271