St. Elizabeth Home Care Services, Llc, NPI 1316136534
Home Health Agency in Florence, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1316136534 |
| NPI Entity Type | Organization |
| Provider Name |
St. Elizabeth Home Care Services, Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 8100 Burlington Pike, Florence, KY, US |
| Provider Mailing Address | 6281 Tri Ridge Blvd Ste 300, Loveland, OH, US, 451408345 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Jack Hawkins |
| Official Position | VP, FINANCE & CFO |
| Phone | 513-576-8478 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 150016 | KY | No | |||
| 150016 | KY | No | |||
| No | |||||
| 150016 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7100397900 | KY | MEDICAID PRIVATE DUTY | 01 |
| 7100060090 | KY | MEDICAID | 05 |
| 7100071690 | KY | MEDICAID WAIVER | 01 |
| 7100073700 | KY | HCBW | 01 |
| 7100076670 | KY | EPSDT | 01 |
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|---|---|---|---|
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M.D. Michael Crum Individual |
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Sarah L Young Individual |
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D.O. William B Webb Individual |
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PA-C Brittney R. Judhan Individual |
911 Bypass Rd Bldg A |
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MD Brett E Jarrell Individual |
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APRN Danny Brent Newsome Individual |
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DO John M Fleming Individual |
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