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Contact Information

JUSTIN GROOMS
413 N DONNIVAN ST
PRINCETON, KY42445-1311
 Phone: 657-217-4006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for JUSTIN GROOMS · (Male)

NPI Number 1154201044
Status Active
Credentials
Entity Individual
Enumeration date 09/03/2025
Last updated 09/03/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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