# CLOSE TO HOME LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003943424
- **Authorized official:** MS. JACQUELINE J ROGERS (ACCTS MGR/OWNER)
- **Authorized official phone:** (859) 983-8729

## Contact information

- **Practice address:** 1795 ALYSHEBA WAY STE 1103, LEXINGTON, KY 40509-2282
- **Practice address phone:** (859) 983-8729
- **Practice address fax:** (859) 259-2012
- **Mailing address:** 1795 ALYSHEBA WAY STE 1103, LEXINGTON, KY 40509-2282
- **Mailing address phone:** (859) 983-8729
- **Mailing address fax:** (859) 259-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 06/08/2016