Provider Demographics
NPI:1437516671
Name:LCA GROUP LLC
Entity Type:Organization
Organization Name:LCA GROUP LLC
Other - Org Name:BRIGHTSTAR CARE OF NORTHERN KENTUCKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCREARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-654-8987
Mailing Address - Street 1:2734 CHANCELLOR DR STE 207
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5409
Mailing Address - Country:US
Mailing Address - Phone:859-692-9500
Mailing Address - Fax:859-692-9502
Practice Address - Street 1:2734 CHANCELLOR DR STE 207
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5409
Practice Address - Country:US
Practice Address - Phone:859-692-9500
Practice Address - Fax:859-692-9502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY500241251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health