# LIFELINE HOME HEALTH CARE OF BOWLING GREEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeline Health Care of Warren
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205860087
- **Authorized official:** MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 165 NATCHEZ TRACE AVENUE, SUITE 206, BOWLING GREEN, KY 42103-7947
- **Practice address phone:** (270) 781-0702
- **Practice address fax:** (270) 781-8489
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | 150077 | KY | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 01/13/2022