Organization
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Active
Other names
Memorial Hospital Home Health, AdventHealth Home Care Manchester, MEMORIAL HOSPITAL INC, ADVENTHEALTH HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WHEELER (CFO)
(530) 545-1409
Entity
Organization
Contact information
Practice address
509 MEMORIAL DR STE 2, MANCHESTER, KY 40962-6196
(606) 598-1969
Mailing address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-1969
(606) 598-2062
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150039
KY
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054585
BLUE CROSS BLUE SHIELD KY
KY
01
—
0005154214
AETNA
KY
01
—
001703971
BLUE CROSS BLUE SHIELD WV
WV
01
—
100033950A
INDIANA MEDICAID
IN
01
—
1004431
MEDICAID TENNESSEE
TN
01
—
100443100
PASSPOST HEALTH PLAN
KY
01
—
1038912
BRICK STREET MTL WV WC
WV
01
—
180043
MEDICARE MANAGED CARE
KY
01
—
30523000
BLACK LUNG
KY
05
—
34002808
—
KY
05
—
4200280
—
KY
01
—
5000038
UNITED HEALTHCARE
KY
01
—
610594620
TRICARE
KY
01
—
65265
MEMORIAL EMPLOYEES
KY
01
—
A87696
MEDICAID OHIO
OH
Enumeration date
07/18/2006
Last updated
01/02/2025
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