SILVER ANGELS OF TENNESSEE - ROANE, LLC (NPI# 1811242860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811242860 |
| Entity Type | Organization |
| Organization Name | SILVER ANGELS OF TENNESSEE - ROANE, LLC |
| Practice Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 5025687800 |
| Mailing Telephone | 5025687800 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | MR. JOHN HARRISON (CFO) |
| Authorized Official Telephone | 5025687800 |
| Is Organization Subpart | Y |
| Parent Organization Name | SILVER ANGELS OF TENNESSEE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
12201 BLUEGRASS PKWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40299-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326067992 | Heather Marie Tucker | Nurse Practitioner | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2006-07-18 |
| 1891153573 | Signature Rehab Services, LLC | Clinic/Center | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2016-02-09 |
| 1942679063 | Jordan Kirchgessner | Nurse Practitioner | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2015-09-18 |
| 1750787727 | Shc Medical Partners of Alabama, LLC | Physician Assistant | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2014-11-18 |
| 1720494552 | Lp Madison, LLC | Skilled Nursing Facility | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2014-07-01 |
| 1073939468 | Kelly Mike | Nurse Practitioner | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2014-03-10 |
| 1982942405 | Lp Memphis Iv, LLC | Skilled Nursing Facility | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2013-01-17 |
| 1659626604 | Silver Angels of Tennessee - Lake, LLC | In Home Supportive Care | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2012-07-16 |
| 1629323670 | Silver Angels of Tennessee - Montgomery, LLC | In Home Supportive Care | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2012-07-16 |
| 1891040846 | Silver Angels of Tennessee - Marion, LLC | In Home Supportive Care | 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
| 1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
| 1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1023496205 | Scotty Ray Newcomer | Family Medicine | 8511 Watterson Trl, Louisville, KY 40299 | 2015-05-08 |
| 1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
| 1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in zip 40299 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023927 | Fox Access LLC | In Home Supportive Care | 5817 Bannon Crossings Dr, Louisville, KY 40228-1190 | 2020-08-13 |
| 1932732211 | Diamond Heart Home Care | In Home Supportive Care | 1703 W Creek Way Apt 6, Louisville, KY 40242-3929 | 2020-02-14 |
| 1376192542 | Galaxy Home Care LLC | In Home Supportive Care | 2221 Buechel Ave Ste 11, Louisville, KY 40218-2667 | 2019-09-10 |
| 1588213052 | Debbie Kay Mccowan | In Home Supportive Care | 1001 Springside Way, Louisville, KY 40223-3782 | 2019-09-08 |
| 1124673587 | Bluegrass Companion Care | In Home Supportive Care | 8911 Thelma Ln, Louisville, KY 40220-2939 | 2019-08-02 |
| 1780237537 | Rahco Kentuckiana, LLC | In Home Supportive Care | 500 Executive Park, Louisville, KY 40207-4205 | 2019-07-22 |
| 1487181087 | Pathway2recoveryky LLC | In Home Supportive Care | 214 Breckenridge Ln Ste 207, Louisville, KY 40207-3879 | 2017-05-15 |
| 1548702756 | Personal Options Homecare, LLC | In Home Supportive Care | 9311 Ponder Ln, Louisville, KY 40272-3921 | 2016-11-07 |
| 1801342720 | Discount Medical Supply | In Home Supportive Care | 5616 Preston Hwy, Louisville, KY 40219-1304 | 2016-08-31 |
| 1073067625 | Southern Home Care Services, Inc. | In Home Supportive Care | 806 Stone Creek Pkwy Ste 9, Louisville, KY 40223-5394 | 2016-08-12 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40299 |
Please comment or provide details below to improve the information on SILVER ANGELS OF TENNESSEE - ROANE, LLC.
| 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.