Boone Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BOONE HOME HEALTHCARE, LLC

Practice address

6044 Taylor Dr Apt 90
Burlington, KY 41005-8549

Phone

(859) 379-9013

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By 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

Fardawsa Hersi

Title

Owner

Phone

(859) 379-9013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1831906635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 TAYLOR DR APT 90",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410058549",
            "telephone_number": "859-379-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 TAYLOR DR APT 90",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410058549",
            "telephone_number": "859-379-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "FARDAWSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-379-9013"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burlington, KY
• Providers in Burlington, 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 Dec 16, 2024; 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.