Organization
LIFELINE ROCKCASTLE HOME HEALTH LLC
Active
Other names
Lifeline Rockcastle Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
145 LEWIS ST, MT VERNON, KY 40456
(606) 256-1808
(606) 256-3808
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
—
—
261QR0400X
Rehabilitation Clinic/Center
EPSDT
—
261QR1300X
Rural Health Clinic/Center
HCB WAIVER
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/20/2010
Last updated
01/13/2022
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