Intrepid Usa Healthcare Services
LBN: Intrepid Of The Tri-State, Inc.
Intrepid Usa Healthcare Services is an health care organization with primary practice located at 201 Klutey Park Plaza , Henderson KY 42420-3345. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Agencies / Home Health is the primary health care specialty.
Intrepid Of The Tri-State, Inc. can be contacted via phone (270) 827-4842, or through Kunysz, John M. via phone (214) 445-3750.
Contact Information
Primary practice address
201 Klutey Park Plaza
Henderson KY 42420-3345
Phone: (270) 827-4842
Fax: (270) 827-8244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 150114 | Kentucky |
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 150114 | Kentucky |
Profile Details
| NPI number | 1194707711 |
|---|---|
| LBN Legal business name | Intrepid Of The Tri-State, Inc. |
| DBA Doing business as | Intrepid Usa Healthcare Services |
| Authorized official | Kunysz, John M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Nov 8th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194707711 | NPPES |
| Kentucky | MEDICAID | 42000133 | |
| Kentucky | MEDICAID | 34000224 |
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