Our Lady of Bellefonte Hospital Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

150098 Issued in KY

Legal business name

OUR LADY OF BELLEFONTE HOSPITAL INC

Doing business as

Bellefonte Home Health Care Agency

Practice address

700 Saint Christopher Dr
Medical Building III, Suite 105
Ashland, KY 41101-7062

Phone

(606) 833-3545

Fax

(606) 833-3546

NPI assigned

Jun 9, 2006

Last updated

May 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

OUR LADY OF BELLEFONTE HOSPITAL INCAs reported in NPPES

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

Authorized official

Name

Laura Buczkowski

Title

Cfo

Phone

(804) 627-5573

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• Bellefonte Home Health Care Agency Doing business as

Part of

Cannosburg Outreach Ctr

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1255372686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SAINT CHRISTOPHER DR",
            "address_2": "MEDICAL BUILDING III, SUITE 105",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017062",
            "telephone_number": "606-833-3545",
            "fax_number": "606-833-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SAINT CHRISTOPHER DR",
            "address_2": "MEDICAL BUILDING III, SUITE 105",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017062",
            "telephone_number": "606-833-3545",
            "fax_number": "606-833-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF BELLEFONTE HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF BELLEFONTE HOSPITAL INC",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "BUCZKOWSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-627-5573"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150098",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "150098",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "150098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM REHAB",
            "identifier": "0000000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054555",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586843",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450000155",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42000000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34000026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Home Health Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Home Health Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Our Lady of Bellefonte Hospital (OLBH Heart Failure Clinic)
• Our Lady of Bellefonte Hospital
• Our Lady of Bellefonte Hospital (Women's Center)
• Our Lady of Bellefonte Hospital (Bellefonte Primary Care, Ashland)
• Our Lady of Bellefonte Hospital Inc (Medical Plaza Pharmacy)
• Our Lady of Bellefonte Hospital Inc
• Our Lady of Bellefonte Hospital Inc (Our Lady of Bellefonte Hospital Pro Fee)
• Our Lady of Bellefonte Hospital Inc
• Our Lady of Bellefonte Hospital Inc (Our Lady of Bellefonte Hospital Durable Medical Equipment)
• Our Lady of Bellefonte Hospital Inc. (Bellefonte Behavioral Health Associates)

• Home Health Agency in Ashland, KY
• Providers in Ashland, KY by specialty
• Home Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.