Personal Options Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

500249 Issued in KY

Legal business name

PERSONAL OPTIONS HOMECARE, LLC

Practice address

9311 Ponder LN
Louisville, KY 40272-3921

Phone

(502) 396-3545

NPI assigned

Nov 7, 2016

Last updated

Nov 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Lee Forward Sr.

Title

Ceo/Founder

Phone

(502) 396-3545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1548702756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 PONDER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402723921",
            "telephone_number": "502-396-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 PONDER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402723921",
            "telephone_number": "502-396-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL OPTIONS HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "FORWARD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "502-396-3545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KY",
            "license": "500249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.