Provider Demographics
NPI:1568773802
Name:TRIPLE H FARM OF KENTUCKY
Entity Type:Organization
Organization Name:TRIPLE H FARM OF KENTUCKY
Other - Org Name:HORSESHEALINGHUMANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITATOR / ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-885-3122
Mailing Address - Street 1:1129 DURHAM LN
Mailing Address - Street 2:BLDG B
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-9504
Mailing Address - Country:US
Mailing Address - Phone:859-885-3122
Mailing Address - Fax:
Practice Address - Street 1:1129 DURHAM LN
Practice Address - Street 2:BLDG B
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-9504
Practice Address - Country:US
Practice Address - Phone:859-885-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIPLE H FARM OF KENTUCKY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-01
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3514251300000X, 251S00000X, 261Q00000X, 261QD1600X, 261QH0700X, 261QM0801X, 261QM0855X
251V00000X, 261QA0900X
KY170 KNX347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251300000XAgenciesLocal Education Agency (LEA)
No251V00000XAgenciesVoluntary or Charitable
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA0900XAmbulatory Health Care FacilitiesClinic/CenterAmputee
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No347C00000XTransportation ServicesPrivate Vehicle