Healthcare Provider Details

I. General information

NPI: 1609619105
Provider Name (Legal Business Name): THOMPSON HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 W SAINT CATHERINE ST
LOUISVILLE KY
40210-1239
US

IV. Provider business mailing address

1709 W SAINT CATHERINE ST
LOUISVILLE KY
40210-1239
US

V. Phone/Fax

Practice location:
  • Phone: 502-296-5502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JAIMIE WELLER
Title or Position: CHIEF NURSING OFFICER
Credential: RN
Phone: 502-200-3367