LIFELINE HEALTH CARE OF KENTUCKY, INC. (NPI# 1629001052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629001052 |
| Entity Type | Organization |
| Organization Name | LIFELINE HEALTH CARE OF KENTUCKY, INC. |
| Practice Address |
1600 Scottsville Rd Suite 300 Bowling Green KY 42104-3217 |
| Mailing Address |
600 Clifty St Somerset KY 42503-1733 |
| Practice Telephone | 2707810702 |
| Practice Fax Number | 2707818489 |
| Mailing Telephone | 6066794100 |
| Mailing Fax Number | 6066787306 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES T. WILSON (CEO) |
| Authorized Official Telephone | 6066794100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251E00000X | Home Health | Agencies | ||
| X | 251J00000X | Nursing Care | Agencies | ||
| X | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| X | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 42031146 | 05 | |
| KY | 45342557 | 05 | |
| KY | 34071142 | 05 | |
| KY | 41114034 | 05 |
| Street Address |
1600 SCOTTSVILLE RD SUITE 300 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841261914 | Phoenix Rehab Group, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2006-01-27 |
| 1710435862 | Dr Syed A Khader Pllc | Durable Medical Equipment & Medical Supplies | 1600 Scottsville Rd, Ste 301, Bowling Green, KY 42104-3217 | 2016-09-19 |
| 1437488111 | Toni D. Sibalich | Physical Therapist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2009-12-09 |
| 1720220676 | Kelley J Manning | Speech-Language Pathologist | 1600 Scottsville Rd, Suite 300, Bowling Green, KY 42104-3217 | 2009-03-24 |
| 1306093190 | Rhonda Y. Pryor | Speech-Language Pathologist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2008-08-22 |
| 1275780413 | Claire K. Klein | Physical Therapist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2008-08-19 |
| 1518113638 | Jennifer A Simmons | Speech-Language Pathologist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2008-08-08 |
| 1437332178 | Phoenix Rehab, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2007-12-17 |
| 1417036575 | Regional Child Development Clinics | Day Training, Developmentally Disabled Services | 1600 Scottsville Rd, Suite 100, Bowling Green, KY 42104-3217 | 2006-11-02 |
| 1821173543 | Carl L. Myers | Psychologist | 1600 Scottsville Rd, Suite 100, Bowling Green, KY 42104-3217 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184049009 | Housecall Np, LLC | Home Health | 17847 Range Line Rd, Bowling Green, OH 43402-8957 | 2014-03-01 |
| 1770887127 | Gentry Inc. | Home Health | 955 Fields Dr, Suite 104, Bowling Green, KY 42104-5346 | 2010-12-28 |
| 1801087440 | Amedisys Ohio, L.L.C. | Home Health | 745 Haskins Rd Ste G, Bowling Green, OH 43402-1600 | 2007-08-08 |
| 1538367578 | Trusted Senior Care, LLC | Home Health | 2475 Scottsville Rd, Suite 100, Bowling Green, KY 42104-4483 | 2007-07-10 |
| 1003814203 | Pike County Health Dept Home Health | Home Health | 1 Health Care Place, Bowling Green, MO 63334-1643 | 2005-07-12 |
| 1851469365 | Infusion Partners, Inc. | Home Health | 1711 Ashley Cir, Suite A-5, Bowling Green, KY 42104-5801 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516582 | Global Hawk LLC | Home Health | 285 Mocks Creek Dr, Danville, KY 40422-9255 | 2020-10-25 |
| 1760081160 | A Tspoon of Healing Health Care Services LLC | Home Health | 3951 Bardstown Rd Ste 5, Louisville, KY 40218-2609 | 2020-10-19 |
| 1891393203 | Leliah Home Health | Home Health | 7911 Smyrna Parkkway, Louisville, KY 40228-1805 | 2020-10-16 |
| 1063010429 | Horizon Home Health Care, LLC | Home Health | 121 W Virginia Ave Ste 200c, Pineville, KY 40977-1662 | 2020-10-16 |
| 1366049587 | Nieman Home Care LLC | Home Health | 73 Cavalier Blvd Ste 127, Florence, KY 41042-5180 | 2020-10-01 |
| 1861008351 | Matthew Karmo | Home Health | 7911 Smyrna Pkwy, Louisville, KY 40228-1805 | 2020-09-20 |
| 1306456546 | Crystal Lache Young | Home Health | 6111 Leonard Way, Louisville, KY 40229-1405 | 2020-08-03 |
| 1750991972 | Comfortable Living LLC | Home Health | 870 Corporate Dr Ste 104, Lexington, KY 40503-5417 | 2020-08-03 |
| 1952919060 | Caring Partners | Home Health | 3609 Alexaxdria Pike, Cold Spring, KY 41076 | 2020-07-15 |
| 1629693130 | Brittiney Griffin | Home Health | 3418 Burrell Dr, Louisville, KY 40216-4373 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.