SOUTHSIDE PERSONAL CARE HOME LLC NPI 1427671700

NPI Information

NPI: 1427671700
Provider Name: SOUTHSIDE PERSONAL CARE HOME LLC
Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
5330 S 3RD ST
LOUISVILLE, KY
ZIP 40214
Phone: (502) 533-1492
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SOUTHSIDE PERSONAL CARE HOME LLC is a home health aide in Louisville, KY. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. SOUTHSIDE PERSONAL CARE HOME LLC NPI is 1427671700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5330 S 3RD ST
LOUISVILLE, KY
ZIP 40214-680
Phone: (502) 533-1492
Fax: (502) 212-9292

The provider's authorized official is Abdirashid Ahmed Kanyare .
The authorized official title is Manager and has the following contact phone number (502) 533-1492.

The enumeration date for this NPI number is 5/21/2020 and was last updated on 8/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500334	OTHER	KENTUCKY	CABINET FOR HEALTH AND FAMILY SERVICES OFFICE OF INSPECTOR GENERAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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