Provider Demographics
NPI:1932614377
Name:FIRSTHAND CARE OF KENTUCKY LLC
Entity Type:Organization
Organization Name:FIRSTHAND CARE OF KENTUCKY LLC
Other - Org Name:FIRSTHAND CARE OF KENTUCKY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-543-3682
Mailing Address - Street 1:2524 CARDUCCI ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4536
Mailing Address - Country:US
Mailing Address - Phone:216-543-3682
Mailing Address - Fax:
Practice Address - Street 1:2524 CARDUCCI ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4536
Practice Address - Country:US
Practice Address - Phone:216-543-3682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251E00000X
251E00000X, 261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care