Organization
NP SERVICES OF KY LLC
Active
Other names
Advanced Care House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223
(502) 327-9100
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100495520
—
KY
Enumeration date
11/14/2017
Last updated
01/29/2020
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