Provider Demographics
NPI:1891201158
Name:LSJ SERVICES, LLC
Entity Type:Organization
Organization Name:LSJ SERVICES, LLC
Other - Org Name:ACCESSIBLE HOME CARE OF FRANKFORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLIENT CARE/EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:MCDONALD
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-699-2550
Mailing Address - Street 1:213 SAINT CLAIR ST STE 205
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-1845
Mailing Address - Country:US
Mailing Address - Phone:502-699-2550
Mailing Address - Fax:502-699-2560
Practice Address - Street 1:213 SAINT CLAIR ST STE 205
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-1845
Practice Address - Country:US
Practice Address - Phone:502-699-2550
Practice Address - Fax:502-699-2560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-22
Last Update Date:2017-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY251E0000XMedicaid