Provider Demographics
NPI:1164880258
Name:COMPETITIVE EDGE II, LLC
Entity Type:Organization
Organization Name:COMPETITIVE EDGE II, LLC
Other - Org Name:ALLIANCE MEDICAL & HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-296-9525
Mailing Address - Street 1:3716 WILLOW RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1562
Mailing Address - Country:US
Mailing Address - Phone:859-296-9525
Mailing Address - Fax:859-296-0625
Practice Address - Street 1:3716 WILLOW RIDGE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1562
Practice Address - Country:US
Practice Address - Phone:859-296-9525
Practice Address - Fax:859-296-0625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5001643747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty