Organization
KENTUCKY IN-HOME PARTNER-I, LLC
Active
Other names
Lifeline of Jackson Purchase Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
335 CHARLES DR, MAYFIELD, KY 42066-4900
(270) 753-5656
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/02/2017
Last updated
11/11/2025
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