Provider Demographics
NPI:1942082151
Name:KENTUCKY CARETAKERS
Entity Type:Organization
Organization Name:KENTUCKY CARETAKERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-939-9669
Mailing Address - Street 1:4200 SANCTUARY BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-5874
Mailing Address - Country:US
Mailing Address - Phone:502-939-9669
Mailing Address - Fax:
Practice Address - Street 1:4200 SANCTUARY BLUFF LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-5874
Practice Address - Country:US
Practice Address - Phone:502-939-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health