Provider Demographics
NPI:1922433168
Name:HMR ACQUISITION, LCA
Entity Type:Organization
Organization Name:HMR ACQUISITION, LCA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-899-3205
Mailing Address - Street 1:159 SAINT MATTHEWS AVE
Mailing Address - Street 2:SUITE 9/10
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3137
Mailing Address - Country:US
Mailing Address - Phone:502-899-3205
Mailing Address - Fax:502-899-1403
Practice Address - Street 1:159 SAINT MATTHEWS AVE
Practice Address - Street 2:SUITE 9/10
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3137
Practice Address - Country:US
Practice Address - Phone:502-899-3205
Practice Address - Fax:522-899-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty