Organization
KENTUCKY LV, LLC
Active
Other names
Commonwealth Home Health, Deaconess-Lifeline 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
1001 GIBSON BAY DR STE 102, RICHMOND, KY 40475-3544
(859) 623-1075
(859) 623-4801
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
—
—
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/10/2014
Last updated
01/13/2022
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