1025 Health, Llc

LBN: 1025 Health, Llc
1025 Health, Llc is an health care organization with primary practice located at 110 Hardin Ln , Somerset KY 42503-3818. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. 1025 Health, Llc can be contacted via phone (606) 451-9748, or through Johnson, Robert via phone (606) 451-9748.

Contact Information

Primary practice address
110 Hardin Ln Somerset KY 42503-3818
Phone: (606) 451-9748
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Robert Advanced Practice Registered Nurse (APRN)
Phone: (606) 451-9748

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X

Profile Details

NPI number 1891303368
LBN Legal business name 1025 Health, Llc
DBA Doing business as
Authorized official Johnson, Robert Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2020
Last updated Jul 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891303368 NPPES
Kentucky MEDICAID 1417467010

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