Healthcare Provider Details

I. General information

NPI: 1245480755
Provider Name (Legal Business Name): PIP-CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 09/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 GOSS AVE
LOUISVILLE KY
40217-1269
US

IV. Provider business mailing address

PO BOX 17243
LOUISVILLE KY
40217-0243
US

V. Phone/Fax

Practice location:
  • Phone: 502-435-4393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS HAYES
Title or Position: ADMINISTRATOR
Credential:
Phone: 502-435-4393