Organization Active NPI

Lincoln Trail Homecare

Doing business as Visiting Angels

  • In Home Supportive Care Agency
  • Bardstown, KY
National Provider Identifier
1205596079
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LINCOLN TRAIL HOMECARE
Doing business as
Visiting Angels
Practice address
102 Manor Ave Ste 201
Bardstown, KY 40004-2553
Phone
(502) 348-0377
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael McCanceNPI 1154779924
Title
Owner
Phone
(502) 348-0377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

102 Manor Ave Ste 201
Bardstown, KY 40004-2553

Mailing address

102 Manor Ave Ste 201
Bardstown, KY 40004-2553
Phone (502) 348-0377

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

102 Manor Ave
Ste 201
Bardstown, KY 40004
Phone (502) 348-0377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1205596079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MANOR AVE STE 201",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042553",
            "telephone_number": "502-348-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MANOR AVE STE 201",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042553",
            "telephone_number": "502-348-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN TRAIL HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "MCCANCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-348-0377"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.