Organization Active NPI

Home Convalescent AIDS Inc.

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
National Provider Identifier
1215087820
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME CONVALESCENT AIDS INC.
Practice address
1113 W Lexington Ave
Winchester, KY 40391-1169
Phone
(859) 745-4445
Fax
(859) 745-0483
NPI assigned
Jan 12, 2007
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Donald Kenneth Dove, RPH
Title
Presidentpharmacist
Phone
(859) 745-4445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Durable Medical Equipment & Medical Supplies 332B00000X KY Primary

Addresses

Primary practice location

1113 W Lexington Ave
Winchester, KY 40391-1169

Mailing address

1113 W Lexington Ave
Winchester, KY 40391-1169
Phone (859) 745-4445

Other identifiers 3

IdentifierTypeStateIssuer
4554822900MedicaidKY
90030255MedicaidKY
54017587MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1215087820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911169",
            "telephone_number": "859-745-4445",
            "fax_number": "859-745-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911169",
            "telephone_number": "859-745-4445",
            "fax_number": "859-745-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CONVALESCENT AIDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENTPHARMACIST",
        "authorized_official_telephone_number": "859-745-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4554822900",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90030255",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54017587",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.