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Contact Information

ADVENTHEALTH HOME HEALTH AND HOSPICE INC
509 MEMORIAL DR STE 2
MANCHESTER, KY40962-6196
 Phone: 606-598-1969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for ADVENTHEALTH HOME HEALTH AND HOSPICE INC

NPI # 1194744664
LBN Legal business name ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Authorized official MARK WHEELER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 01/02/2025 - More than a year ago
Identifiers
KY License # 150039
KY Medicaid 34002808
KY Medicaid 4200280
IN Other 100033950A INDIANA MEDICAID
KY Other 0005154214 AETNA
KY Other 65265 ANTHEM BLUE CROSS
KY Other 30523000 BLACK LUNG
KY Other 000000054585 BLUE CROSS BLUE SHIELD KY
KY Other 610594620 CHAMPVA
KY Other 100443100 MEDICAID PENDING
KY Other 180043 MEDICARE MANAGED CARE
KY Other 65265 MEMORIAL EMPLOYEES
KY Other 610594620 MISC INSURANCE
KY Other 100443100 PASSPOST HEALTH PLAN
KY Other 610594620 TRICARE
KY Other 5000038 UNITED HEALTHCARE
OH Other A87696 MEDICAID OHIO
TN Other 1004431 MEDICAID TENNESSEE
WV Other 001703971 BLUE CROSS BLUE SHIELD WV
WV Other 1038912 BRICK STREET MTL WV WC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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