Organization
CARETENDERS VS OF WESTERN KY, LLC
Active
Other names
Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BLDG. E, SUITE 203, OWENSBORO, KY 42303-1449
(270) 685-3876
(270) 691-9405
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100138600
—
KY
05
—
7100138610
—
KY
05
—
7100138630
—
KY
05
—
7100138650
—
KY
Enumeration date
12/18/2007
Last updated
09/16/2024
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