Healthcare Provider Details

I. General information

NPI: 1285513911
Provider Name (Legal Business Name): EPIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2134 CALHOUN RD
OWENSBORO KY
42301-8222
US

IV. Provider business mailing address

2134 CALHOUN RD
OWENSBORO KY
42301-8222
US

V. Phone/Fax

Practice location:
  • Phone: 270-545-8116
  • Fax: 270-574-7003
Mailing address:
  • Phone: 270-545-8116
  • Fax: 270-574-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LATONJE E SHELTON
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 270-545-8116