Provider Demographics
NPI:1760081160
Name:A TSPOON OF HEALING HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:A TSPOON OF HEALING HEALTH CARE SERVICES LLC
Other - Org Name:A TSPOON OF HEALING HEALTH CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:502-413-1992
Mailing Address - Street 1:3951 BARDSTOWN RD STE 5
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-2609
Mailing Address - Country:US
Mailing Address - Phone:502-290-0539
Mailing Address - Fax:502-290-0539
Practice Address - Street 1:3951 BARDSTOWN RD STE 5
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2609
Practice Address - Country:US
Practice Address - Phone:502-290-0539
Practice Address - Fax:502-290-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health