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General NPI Number Information
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NPI Number | 1003762576
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Entity Type | Organization
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Legal Business Name | BLUEGRASS PERSONAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 1019 SECREST XING
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-8097
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Country | US
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Telephone | 859-274-7130
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Fax | 859-274-7130
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Provider Business Mailing Address
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Address Line | 1019 SECREST XING
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-8097
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Country | US
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Telephone | 859-274-7130
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Fax | 859-274-7130
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | JESSICA ERIN SHELLEY
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Credential | RN, BSN
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Telephone | 859-274-7130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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