Provider Demographics
NPI:1619732047
Name:WARREN HOME HEALTHCARE
Entity Type:Organization
Organization Name:WARREN HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:859-967-6866
Mailing Address - Street 1:989 GOVERNORS LN STE 325
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1189
Mailing Address - Country:US
Mailing Address - Phone:859-967-6866
Mailing Address - Fax:
Practice Address - Street 1:989 GOVERNORS LN STE 325
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1189
Practice Address - Country:US
Practice Address - Phone:859-967-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty