Healthcare Provider Details

I. General information

NPI: 1114279510
Provider Name (Legal Business Name): SAINT JOSEPH-ANC HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5111 COMMERCE CROSSINGS DR STE 110
LOUISVILLE KY
40229-2192
US

IV. Provider business mailing address

6281 TRI RIDGE BLVD STE 300
LOVELAND OH
45140-8345
US

V. Phone/Fax

Practice location:
  • Phone: 502-584-2456
  • Fax: 800-346-4577
Mailing address:
  • Phone: 513-576-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JACK D HAWKINS
Title or Position: V.P. FINANCE & CFO
Credential:
Phone: 513-477-6305