=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013722248
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GIVING HOME HEALTH CARE-KENTUCKY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2025
-----------------------------------------------------
Last Update Date | 02/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5150 VILLAGE SQUARE DR
-----------------------------------------------------
City | PADUCAH
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42001-9060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-703-9697
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 835 W 6TH ST STE 1450
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78703-5421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 376-372-9907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL COUNSEL
-----------------------------------------------------
Name | BENJAMIN M HANSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 737-637-2990
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------