=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629061510
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKLIN COUNTY HEALTH DEPARTMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2005
-----------------------------------------------------
Last Update Date | 02/14/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 851 EAST WEST CONNECTOR
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-564-7383
-----------------------------------------------------
Fax | 502-564-9587
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 851 EAST WEST CONNECTOR
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-564-7383
-----------------------------------------------------
Fax | 502-564-9587
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | ANGELA MICHELLE EARLY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 502-564-7383
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 150071
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | 150071
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 150071
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------