Provider Demographics
NPI:1336559996
Name:PRENCARE OF KENTUCKY, INC
Entity Type:Organization
Organization Name:PRENCARE OF KENTUCKY, INC
Other - Org Name:COMFORCARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:JULIAN
Authorized Official - Last Name:PRENTICE
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:502-254-0850
Mailing Address - Street 1:308 EVERGREEN RD
Mailing Address - Street 2:SUITE 240A
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1076
Mailing Address - Country:US
Mailing Address - Phone:502-254-0850
Mailing Address - Fax:502-254-0859
Practice Address - Street 1:308 EVERGREEN RD
Practice Address - Street 2:SUITE 240A
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1076
Practice Address - Country:US
Practice Address - Phone:502-254-0850
Practice Address - Fax:502-254-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care