Active NPI
Louisa Home Care Services LLC
- Home Health Agency
- Fort Gay, WV
National Provider Identifier
1255475265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LOUISA HOME CARE SERVICES LLC
- Practice address
- 672 Court Street
Fort Gay, WV 25514 - Phone
- (304) 648-5000
- Fax
- (304) 648-3298
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Todd Lyles
- Title
- Sr Vice President
- Phone
- (502) 891-1044
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | WV | Primary | |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
672 Court Street
Fort Gay, WV 25514
Mailing address
9510 Ormsby Station Rd
Ste 300
Louisville, KY 40223-4081
Phone (502) 891-1187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0175066000 | Medicaid | WV |
Other names 1
- Three Rivers Home Care WV
National Provider Directory
National Provider Directory- Tax ID family
- Hospital of Louisa Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Louisa, KY
- NPI 1063484483
-
- Psychiatric Hospital Unit
- Louisa, KY
- NPI 1356313407
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483920000000",
"number": "1255475265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9510 ORMSBY STATION RD",
"address_2": "STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234081",
"telephone_number": "502-891-1187",
"fax_number": "502-891-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 COURT STREET",
"city": "FORT GAY",
"state": "WV",
"postal_code": "25514",
"telephone_number": "304-648-5000",
"fax_number": "304-648-3298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISA HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2017-01-09",
"status": "A",
"authorized_official_last_name": "LYLES",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "SR VICE PRESIDENT",
"authorized_official_telephone_number": "502-891-1044"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WV",
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0175066000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Three Rivers Home Care WV",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Gay, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.