National Provider Identifier Database

HOME OF THE INNOCENTS INC
Dental


Contact Information

HOME OF THE INNOCENTS, INC.
1050 E MARKET ST
LOUISVILLE, KY40206-1874
Phone: 502-596-1090
Fax: 502-596-1410
Website:
Specialty Taxonomy Code
* Dental 261QD0000X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for HOME OF THE INNOCENTS, INC.

NPI Number 1477861888
Legal business name
LBN
HOME OF THE INNOCENTS, INC.
Authorized official LESLIE KAUFMAN - (CREDENTIALING/CONTRACT SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 09/20/2010
Last updated 05/15/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 740143
  • KY Medicaid: 12500989
  • KY Medicaid: 29101185
  • KY Medicaid: 29201183
  • KY Medicaid: 7100126000

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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