Organization
HOUSECALLS OF AMERICA, INC.
Active
Other names
Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK TODD LYLES (SR. V.P., ADMINISTRATION)
(502) 891-1044
Entity
Organization
Contact information
Practice address
4139 CADILLAC CT, SUITE 100, LOUISVILLE, KY 40213-1578
(502) 238-5150
(502) 238-5180
Mailing address
9510 ORMSBY STATION RD, SUITE 300, LOUISVILLE, KY 40223-4081
(502) 891-1000
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
150128
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054820
ANTHEM INSURANCE
—
01
—
1054257
PASSPORT MEDICAID HMO
—
05
—
34025569
—
KY
05
—
42020560
—
KY
01
—
Q4M2433628000
PASSPORT ADVANTAGE MC REP
KY
Enumeration date
09/15/2006
Last updated
07/03/2008
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