Healthcare Provider Details

I. General information

NPI: 1396882338
Provider Name (Legal Business Name): MEPCO HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 BOGGS LANE
RICHMOND KY
40475
US

IV. Provider business mailing address

216 BOGGS LANE
RICHMOND KY
40475
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-3441
  • Fax: 859-626-1024
Mailing address:
  • Phone: 859-626-4509
  • Fax: 859-626-1024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number150067
License Number StateKY

VIII. Authorized Official

Name: MS. BILLIE DYER
Title or Position: NURSING ADMINISTRATOR
Credential: RN
Phone: 859-626-4509