Organization
SAINT JOSEPH-ANC HOME CARE SERVICES, LLC
Active
Other names
VNA Health at Home
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HAWKINS (VP, FINANCE/CFO)
(513) 576-8478
Entity
Organization
Contact information
Practice address
2464 FORTUNE DR, SUITE 110, LEXINGTON, KY 40509
(859) 277-5111
Mailing address
6281 TRI RIDGE BLVD STE 300, LOVELAND, OH 45140-8345
(513) 576-0262
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
KY
251E00000X
Home Health Agency
Primary
—
KY
251J00000X
Nursing Care Agency
—
KY
252Y00000X
Early Intervention Provider Agency
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100082990
—
KY
01
—
7100102300
MEDICAID EPSDT
KY
01
—
7100111840
MEDICAID HCBW
KY
01
—
7100111850
MEDICAID WAIVER
KY
Enumeration date
09/11/2008
Last updated
07/21/2022
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