# LIFELINE ROCKCASTLE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeline Rockcastle Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588972996
- **Authorized official:** MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 145 LEWIS ST, MT VERNON, KY 40456
- **Practice address phone:** (606) 256-1808
- **Practice address fax:** (606) 256-3808
- **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 |
| 261QR0400X | Rehabilitation Clinic/Center | EPSDT | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | HCB WAIVER | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 01/13/2022