Active NPI
Nacauya Wade
- Home Health Agency
- Louisville, KY
National Provider Identifier
1982363792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 4907 Lesabre Dr
Louisville, KY 40216-1639 - Phone
- (502) 445-8677
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4907 Lesabre Dr
Louisville, KY 40216-1639
Mailing address
4156 Westport Rd
Louisville, KY 40207-2705
Phone (502) 445-8677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W99223483 | Other | DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1982363792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4156 WESTPORT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072705",
"telephone_number": "502-445-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 LESABRE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402161639",
"telephone_number": "502-445-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "NACAUYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "W99223483",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.