Provider Demographics
NPI:1154835510
Name:HONORA HOME SERVICES, LLC
Entity Type:Organization
Organization Name:HONORA HOME SERVICES, LLC
Other - Org Name:SENIOR HELPERS OF THE BLUEGRASS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-296-2525
Mailing Address - Street 1:3070 HARRODSBURG RD STE 240
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2790
Mailing Address - Country:US
Mailing Address - Phone:859-296-2525
Mailing Address - Fax:859-296-2488
Practice Address - Street 1:3070 HARRODSBURG RD STE 240
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2790
Practice Address - Country:US
Practice Address - Phone:859-296-2525
Practice Address - Fax:859-296-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY500029253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY500029OtherPERSONAL SERVICES AGENCY CERTIFICATION