Healthcare Provider Details
I. General information
NPI: 1497670426
Provider Name (Legal Business Name): SACRED HANDS PRIVATE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3910 BROWN RD
MADISONVILLE KY
42431-8905
US
IV. Provider business mailing address
3910 BROWN RD
MADISONVILLE KY
42431-8905
US
V. Phone/Fax
- Phone: 270-836-5659
- Fax:
- Phone: 270-836-5659
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINA
ROSE
SHERILL
Title or Position: OWNER
Credential:
Phone: 270-836-5659