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Organization

ST. ELIZABETH HOME CARE SERVICES, LLC

Active
Other names
St. Elizabeth Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
JACK HAWKINS (VP, FINANCE & CFO)
(513) 477-6305
Entity
Organization

Contact information

Practice address
7900 TANNERS GATE LN STE 100, FLORENCE, KY 41042-1863
(859) 283-1500
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
150016
KY
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
150016
KY
251K00000X
Public Health or Welfare Agency
252Y00000X
Early Intervention Provider Agency
150016
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100060090
KY
01
7100071690
MEDICAID WAIVER
KY
01
7100073700
HCBW
KY
01
7100076670
EPSDT
KY
01
7100397900
MEDICAID PRIVATE DUTY
KY
Enumeration date
10/24/2007
Last updated
04/21/2026
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