Home Care Clinic and Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2560P Issued in KY

Legal business name

HOME CARE CLINIC AND SERVICES

Practice address

2055 Wooton Rd
Wooton, KY 41776-8751

Phone

(606) 279-2000

Fax

(606) 279-5033

NPI assigned

Jan 31, 2006

Last updated

Aug 22, 2020By 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

Mrs. Angela K Shepherd, LPN

Title

Partner

Phone

(606) 279-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790756393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021327",
            "telephone_number": "606-279-2000",
            "fax_number": "606-279-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WOOTON RD",
            "city": "WOOTON",
            "state": "KY",
            "postal_code": "417768751",
            "telephone_number": "606-279-2000",
            "fax_number": "606-279-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE CLINIC AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "606-279-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2560P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Appalachian Physicians PSC (Appalachian Clinic)
• Grace Community Health Center Inc (W.B. Muncy Elementary School Based Health Clinic)
• Grace Community Health Center, Inc.
• Kentucky River District Health Department (W.B. Muncy Elementary School)

• Nurse Practitioner in Wooton, KY
• Providers in Wooton, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.