Derbytown Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DERBYTOWN HEALTHCARE LLC

Practice address

3710 Chamberlain LN Ste a
Louisville, KY 40241-2002

Phone

(502) 995-4004

Fax

(502) 933-5559

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Radhika Nair

Title

Ceo

Phone

(502) 299-4005

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1548878366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24321",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402240321",
            "telephone_number": "502-995-4004",
            "fax_number": "502-933-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CHAMBERLAIN LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412002",
            "telephone_number": "502-995-4004",
            "fax_number": "502-933-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBYTOWN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-299-4005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "painstopshere@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAILS",
            "address_1": "3710 Chamberlain Ln Ste A",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Derby City Taxicab LLC
• Brian M Derhake, M.D.
• Shannon Derkson
• Dermatology Associates , PSC
• Dermatology Specialists, PSC
• Dermatopathology Alliance of Kentucky PLLC

• Home Health Agency in Louisville, KY
• Providers in Louisville, 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 Jul 17, 2020; 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.