Organization
LIFELINE HEALTH CARE OF KENTUCKY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T. WILSON (CEO)
(606) 679-4100
Entity
Organization
Contact information
Practice address
1600 SCOTTSVILLE RD, SUITE 300, BOWLING GREEN, KY 42104-3217
(270) 781-0702
(270) 781-8489
Mailing address
600 CLIFTY ST, SOMERSET, KY 42503-1733
(606) 679-4100
(606) 678-7306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34071142
—
KY
05
—
41114034
—
KY
05
—
42031146
—
KY
05
—
45342557
—
KY
Enumeration date
07/09/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us