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NPI 1982426110

NPI 1982426110 : AT HOME CARE OF KENTUCKY, INC. : BOWLING GREEN, KY

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General NPI Number Information
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    NPI Number           |    1982426110
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    Entity Type          |    Organization 
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    Legal Business Name  |    AT HOME CARE OF KENTUCKY, INC. 
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Dates
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    Enumeration Date     |    10/29/2024
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    1725 ASHLEY CIR STE 205 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42104-5810
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    Country              |    US
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    Telephone            |    270-904-0115
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1725 ASHLEY CIR STE 205 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42104-5810
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    Country              |    US
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    Telephone            |    270-904-0115
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/CO-OWNER
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    Name                 |     CHRISTY  STEPHENS 
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    Credential           |    
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    Telephone            |    270-904-0115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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