LIFELINE PRIVATE DUTY SERVICES OF KENTUCKY, LLC (NPI# 1821529694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821529694 |
| Entity Type | Organization |
| Organization Name | LIFELINE PRIVATE DUTY SERVICES OF KENTUCKY, LLC |
| Other Organization Name | LIFELINE COMMUNITY-BASED SERVICES |
| Practice Address |
30 Medpark Square Dr Suite 2 Somerset KY 42503-1709 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 6066760045 |
| Practice Fax Number | 6064518371 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Lifeline Community-Based Services | Doing Business As Name - Organization |
| Street Address |
30 MEDPARK SQUARE DR SUITE 2 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942319850 | Shawn Michael Acino | Urology | 30 Medpark Square Dr, Ste 1, Somerset, KY 42503-1709 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| 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 |
|---|---|---|---|---|
| 1396155362 | Happier In My Home, Inc. | In Home Supportive Care | 930 County St Rear, Somerset, MA 02726-5002 | 2014-04-30 |
| 1043632961 | Virtue Bangura | In Home Supportive Care | 802 Hamilton St, Somerset, NJ 08873-3103 | 2014-01-11 |
| 1386976074 | Enhanced Benefits, Inc | In Home Supportive Care | 6 Dina Ln, Somerset, NJ 08873-7610 | 2010-02-04 |
| 1629308143 | Lean On Me, LLC | In Home Supportive Care | 604 Ogden St, Suite 202, Somerset, KY 42501-5826 | 2010-01-06 |
| 1942452958 | Sas Services, Inc. | In Home Supportive Care | 110 Richie Ln., Suite D, Somerset, KY 42503 | 2008-10-21 |
| 1942395124 | Interim Healthcare of Pittsburgh, Inc. | In Home Supportive Care | 512 Georgian Pl, Somerset, PA 15501-1613 | 2006-10-04 |
| 1801494422 | Interim Healthcare of Pittsburgh, Inc. | In Home Supportive Care | 512 Georgian Pl, Somerset, PA 15501-1613 | 2020-10-15 |
| 1578113700 | Premier Medical Staffing Solutions, LLC | In Home Supportive Care | 46 Jurocko Ave, Somerset, NJ 08873-2527 | 2019-09-19 |
| 1265979348 | Because There's No Place Like Home, LLC | In Home Supportive Care | 473 222nd Ave, Somerset, WI 54025-7331 | 2017-01-26 |
| 1083046338 | Lifeline Homecare Inc. | In Home Supportive Care | 246 Poplar Ave, Suite 3, Somerset, KY 42503-1701 | 2013-08-08 |
| Find all providers in SOMERSET | ||||
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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.