Healthcare Provider Details

I. General information

NPI: 1154835510
Provider Name (Legal Business Name): HONORA HOME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2017
Last Update Date: 11/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3070 HARRODSBURG RD STE 240
LEXINGTON KY
40503-2790
US

IV. Provider business mailing address

3070 HARRODSBURG RD STE 240
LEXINGTON KY
40503-2790
US

V. Phone/Fax

Practice location:
  • Phone: 859-296-2525
  • Fax: 859-296-2488
Mailing address:
  • Phone: 859-296-2525
  • Fax: 859-296-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number500029
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number500029
License Number StateKY

VIII. Authorized Official

Name: GABRIEL HUFFMAN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 859-296-2525