Provider Demographics
NPI:1609441955
Name:BRIGHTMORE HOME CARE OF KENTUCKY, LLC
Entity Type:Organization
Organization Name:BRIGHTMORE HOME CARE OF KENTUCKY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-856-2600
Mailing Address - Street 1:614 E MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-4460
Mailing Address - Country:US
Mailing Address - Phone:307-856-2600
Mailing Address - Fax:
Practice Address - Street 1:3565 LONE OAK RD STE 3B&4
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-5717
Practice Address - Country:US
Practice Address - Phone:270-709-3145
Practice Address - Fax:270-709-3184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health