Healthcare Provider Details

I. General information

NPI: 1528518214
Provider Name (Legal Business Name): KAT CARE L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E MAIN ST UNIT B
RICHMOND KY
40475-1867
US

IV. Provider business mailing address

PO BOX 1057
RICHMOND KY
40476-1057
US

V. Phone/Fax

Practice location:
  • Phone: 859-353-8965
  • Fax: 859-575-4205
Mailing address:
  • Phone: 859-353-8965
  • Fax: 859-575-4205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number500247
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA TERRY
Title or Position: OWNER
Credential: RN
Phone: 859-486-9880