Twin Lakes Home Health Agency

LBN: Grayson County Hospital Foundation Inc.
Twin Lakes Home Health Agency is an health care organization with primary practice located at 910 Wallace Ave , Leitchfield KY 42754-1418. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Supports Brokerage. Agencies / Home Health is the primary health care specialty. Grayson County Hospital Foundation Inc. can be contacted via phone (270) 259-9525, or through Fulkerson, Mona Gail via phone (270) 259-9525.

Contact Information

Primary practice address
910 Wallace Ave Leitchfield KY 42754-1418
Phone: (270) 259-9525
Fax: (270) 259-1670
Website:
Map and Directions
Authorized official contact:
Name: Fulkerson, Mona Gail Registered Nurse (RN)
Phone: (270) 259-9525

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 150102 Kentucky
Agencies / Supports Brokerage 251X00000X 150102 Kentucky

Profile Details

NPI number 1114926854
LBN Legal business name Grayson County Hospital Foundation Inc.
DBA Doing business as Twin Lakes Home Health Agency
Authorized official Fulkerson, Mona Gail Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Jun 25th, 2008 - about 16 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 1114926854 NPPES
Kentucky Other 000000054567 ANTHEM
Kentucky MEDICAID 42001438 ANTHEM
Kentucky MEDICAID 34001446 ANTHEM
Kentucky MEDICAID 1050335 ANTHEM
Kentucky Other 2432817000 ANTHEM

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