Western Kentucky in Home Providers LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WESTERN KENTUCKY IN HOME PROVIDERS LLC

Practice address

1169 Carrico Rd
Fancy Farm, KY 42039

Phone

(270) 832-4826

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 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. Deena D Carrico, NP-CNPI 1033577564

Title

Family Nurse Practitioner

Phone

(270) 832-4826

Specialties & licenses 1

Addresses

Other names 1

• Western Kentucky In Home Providers LLC Other name

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22863/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deena Delynne Carrico, APRN

  • Family Nurse Practitioner
  • Fancy Farm, KY
  • NPI 1033577564
  Authorized official Same address or phone

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1962005025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 CARRICO RD",
            "city": "FANCY FARM",
            "state": "KY",
            "postal_code": "42039",
            "telephone_number": "270-832-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 CARRICO RD",
            "city": "FANCY FARM",
            "state": "KY",
            "postal_code": "42039",
            "telephone_number": "270-832-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY IN HOME PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "270-832-4826",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Kentucky In Home Providers LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Kentucky In Home Providers LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deena Delynne Carrico, APRN
• Madison Cole, OTR/L
• Mary Melissa Dodson, CCC, SLP
• Teresa Markay Letcher
• James May
• Tara Lousie Wilson, OTD, OTR

• Home Health Agency in Fancy Farm, KY
• Providers in Fancy Farm, 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 Nov 19, 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.