Organization Active NPI

Homelyfe Personal Care Agency

  • Personal Care Attendant
  • Mt Washington, KY
National Provider Identifier
1679414932
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
HOMELYFE PERSONAL CARE AGENCY
Practice address
207 Twin Eagles Pkwy
Mount Washington, KY 40047-6253
Phone
(502) 463-3444
NPI assigned
Apr 2, 2026
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Ms. Jacquolyn Renee Moore
Title
Director
Phone
(502) 463-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

207 Twin Eagles Pkwy
Mount Washington, KY 40047-6253

Mailing address

PO Box 382
Mount Washington, KY 40047-0382
Phone (502) 463-3444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1679414932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400470382",
            "telephone_number": "502-463-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TWIN EAGLES PKWY",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400476253",
            "telephone_number": "502-463-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELYFE PERSONAL CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACQUOLYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-463-3444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.