Provider Demographics
NPI:1720146053
Name:MILADY'S,LLC
Entity Type:Organization
Organization Name:MILADY'S,LLC
Other - Org Name:MILADYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:502-458-5424
Mailing Address - Street 1:1169 EASTERN PARKWAY
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217
Mailing Address - Country:US
Mailing Address - Phone:502-458-5424
Mailing Address - Fax:502-458-5467
Practice Address - Street 1:1169 EASTERN PARKWAY
Practice Address - Street 2:SUITE 2200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217
Practice Address - Country:US
Practice Address - Phone:502-458-5424
Practice Address - Fax:502-458-5467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1055283OtherPASSPORT
1023986OtherACM
611203635OtherAETNA
8200030OtherUNITED HEALTHCARE
111685OtherABP SUPPORT
KY2433756000OtherPASSPORT ADVANTAGE
KY90580564Medicaid
000000182679OtherANTHEM
=========OtherAETNA