# RWW HOME AND COMMUNITY REHAB SERVICES, INC.

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

## Provider details

- **NPI number:** 1639000896
- **Authorized official:** ANGIE MATTINGLY (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (502) 394-2100

## Contact information

- **Practice address:** 750 OLD HICKORY BLVD STE 1-210, BRENTWOOD, TN 37027-4528
- **Practice address phone:** (502) 394-2100
- **Mailing address:** 805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY 40222-7102

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2026
- **Last updated:** 05/27/2026