Provider Demographics
NPI:1376577361
Name:NR HOME INFUSION, INC.
Entity Type:Organization
Organization Name:NR HOME INFUSION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LENNIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-255-4411
Mailing Address - Street 1:101 VENTURE CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2615
Mailing Address - Country:US
Mailing Address - Phone:859-255-4411
Mailing Address - Fax:859-253-6614
Practice Address - Street 1:101 VENTURE CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2615
Practice Address - Country:US
Practice Address - Phone:859-255-4411
Practice Address - Fax:859-253-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY081744251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90270349Medicaid
KY0292680001Medicare ID - Type Unspecified