# DERBYTOWN HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1548878366
- **Authorized official:** MS. RADHIKA NAIR (CEO)
- **Authorized official phone:** (502) 299-4005

## Contact information

- **Practice address:** 3710 CHAMBERLAIN LN STE A, LOUISVILLE, KY 40241-2002
- **Practice address phone:** (502) 995-4004
- **Practice address fax:** (502) 933-5559
- **Mailing address:** PO BOX 24321, LOUISVILLE, KY 40224-0321
- **Mailing address phone:** (502) 995-4004
- **Mailing address fax:** (502) 933-5559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/17/2020
