Active NPI
LHC Physician Services of West Virginia, LLC
Doing business as Primary Care at Home of Kentucky
- Nurse Practitioner
- Nicholasville, KY
National Provider Identifier
1629441431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- LHC PHYSICIAN SERVICES OF WEST VIRGINIA, LLC
- Doing business as
- Primary Care at Home of Kentucky
- Practice address
- 100 John Sutherland Dr
Suite 1
Nicholasville, KY 40356-2424 - Phone
- (859) 887-5433
- Fax
- (859) 887-5595
- NPI assigned
- Nov 3, 2015
- Last updated
- Aug 16, 2016
- 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
- Donald D. Stelly
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
100 John Sutherland Dr
Suite 1
Nicholasville, KY 40356-2424
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names 1
- Primary Care at Home of Kentucky
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471305600000",
"number": "1629441431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JOHN SUTHERLAND DR",
"address_2": "SUITE 1",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403562424",
"telephone_number": "859-887-5433",
"fax_number": "859-887-5595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LHC PHYSICIAN SERVICES OF WEST VIRGINIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-03",
"last_updated": "2016-08-16",
"status": "A",
"authorized_official_last_name": "STELLY",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-233-1307"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Care at Home of Kentucky",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.