Organization
CAREGIVER SERVICES OF KY LLC
Active
Other names
Premier Caregiver Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. OCALLAGHAN (AGENCY/OWNER)
(502) 384-1840
Entity
Organization
Contact information
Practice address
4640 CHAMBERLAIN LN, LOUISVILLE, KY 40241-1160
(502) 384-1840
(502) 371-0661
Mailing address
4640 CHAMBERLAIN LN, LOUISVILLE, KY 40241-1160
(502) 384-1840
(502) 371-0661
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
500066
KY
3747P1801X
Personal Care Attendant
500066
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500066
COMMONWEALTH OF KY CABINET FOR HEALTH AND FAMILY SERVICES
KY
Enumeration date
09/09/2015
Last updated
09/09/2015
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