Provider Demographics
NPI:1891082954
Name:HOME HEALTH PLUS INC
Entity Type:Organization
Organization Name:HOME HEALTH PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-219-3939
Mailing Address - Street 1:230 LEXINGTON GREEN CIR
Mailing Address - Street 2:SUITE 605
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-9002
Mailing Address - Country:US
Mailing Address - Phone:859-219-3939
Mailing Address - Fax:859-219-3940
Practice Address - Street 1:1900 N 12TH ST STE G
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-9878
Practice Address - Country:US
Practice Address - Phone:270-753-5656
Practice Address - Fax:270-753-4181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY150189251B00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100201940Medicaid
KY187182Medicare Oscar/Certification