Ninety Seventeen Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

500173 Issued in KY

Legal business name

NINETY SEVENTEEN INC

Doing business as

Homewatch CareGivers

Practice address

13117 Eastpoint Park Blvd
Suite G
Louisville, KY 40223-4193

Phone

(502) 244-1212

Fax

(502) 244-1256

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Steve Kochersperger

Title

President

Phone

(502) 244-1212

Specialties & licenses 1

Addresses

Other names 1

• Homewatch CareGivers Doing business as

Locations

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1801287719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13117 EASTPOINT PARK BLVD",
            "address_2": "SUITE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234193",
            "telephone_number": "502-244-1212",
            "fax_number": "502-244-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13117 EASTPOINT PARK BLVD",
            "address_2": "SUITE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234193",
            "telephone_number": "502-244-1212",
            "fax_number": "502-244-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINETY SEVENTEEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "KOCHERSPERGER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-244-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KY",
            "license": "500173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• In Home Supportive Care Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.