Healthcare Provider Details

I. General information

NPI: 1497633812
Provider Name (Legal Business Name): BLUEGRASS SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6918 NICOLAS FARMS CT
LOUISVILLE KY
40229-3615
US

IV. Provider business mailing address

6918 NICOLAS FARMS CT
LOUISVILLE KY
40229-3615
US

V. Phone/Fax

Practice location:
  • Phone: 502-424-9555
  • Fax:
Mailing address:
  • Phone: 502-424-9555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: YURIAN R RAMOS
Title or Position: OWNER
Credential:
Phone: 502-424-9555