Provider Demographics
NPI:1558113548
Name:LOUISVILLE HOME CARE LLC
Entity Type:Organization
Organization Name:LOUISVILLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AUNG
Authorized Official - Middle Name:TEH
Authorized Official - Last Name:OO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-338-9540
Mailing Address - Street 1:4807 LAWRIE LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-1258
Mailing Address - Country:US
Mailing Address - Phone:706-338-9540
Mailing Address - Fax:
Practice Address - Street 1:4807 LAWRIE LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-1258
Practice Address - Country:US
Practice Address - Phone:706-338-9540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care