NPIMap

Organization Active NPI

His Hands Family Practice LLC

Doing business as His Hands Family Care

  • Primary Care Clinic/Center
  • London, KY
National Provider Identifier
1396635595
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HIS HANDS FAMILY PRACTICE LLC
Doing business as
His Hands Family Care
Practice address
1374 Ky-192 East
Suite 300
London, KY 40741
Phone
(606) 231-6858
NPI assigned
Jul 8, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Rosemary Ebertshauser, APRNNPI 1992520035
Title
Owner
Phone
(606) 231-6858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1374 Ky-192 East
Suite 300
London, KY 40741

Mailing address

390 Caribou Dr
London, KY 40744-8612
Phone (606) 231-6858

Other names 1

  • His Hands Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251008002636 KY Part B Supplier - Clinic/Group Practice 2062919749 Receives reassigned benefits from 1 practitioner
Practice locations: London, KY

National Provider Directory

National Provider Directory
Tax ID family
His Hand Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1374 Highway 192 E
Ste 300
London, KY 40741
Phone (606) 231-6858

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": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1396635595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CARIBOU DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448612",
            "telephone_number": "606-231-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 KY-192 EAST",
            "address_2": "SUITE 300",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-231-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS HANDS FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "EBERTSHAUSER",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-231-6858",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His Hands Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "His Hands Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.