Provider Demographics
NPI:1346549748
Name:HUESMAN HOME HEALTH SERVICE INC.
Entity Type:Organization
Organization Name:HUESMAN HOME HEALTH SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:DAY
Authorized Official - Last Name:HUESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:859-552-6454
Mailing Address - Street 1:250 MEDLOCK ROAD
Mailing Address - Street 2:SIDE B
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-1148
Mailing Address - Country:US
Mailing Address - Phone:859-552-6454
Mailing Address - Fax:
Practice Address - Street 1:250 MEDLOCK RD
Practice Address - Street 2:SIDE B
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-1148
Practice Address - Country:US
Practice Address - Phone:859-552-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1067814251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care