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Intrepid Of The Tri-state, Inc.
Home Health Aide in Henderson, Kentucky
NPI 1194707711

Intrepid Of The Tri-state, Inc. is a Home Health Aide based in Dallas, KY. Intrepid Of The Tri-state, Inc. practices in Henderson, KY. The NPI Number for Intrepid Of The Tri-state, Inc. is 1194707711 and holds a License No. 150114 (Kentucky).

The current practice location address for Intrepid Of The Tri-state, Inc. is 201 Klutey Park Plaza, Henderson, KY and can be reached out via phone at 270-827-4842 and via fax at 270-827-8244. You can also correspond with Intrepid Of The Tri-state, Inc. through the mailing address at 14841 DALLAS PKWY STE 625, DALLAS, TX - 75254-7641 (mailing address contact number: 214-445-3750).

Location: 201 Klutey Park Plaza, Henderson, KY, 75254-7641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194707711
Provider Name
Intrepid Of The Tri-state, Inc.
Credential
Provider Entity Type
Organization
Address
201 Klutey Park Plaza, Henderson, KY, 75254-7641
Phone Number
270-827-4842
Fax Number
270-827-8244
Provider Enumeration Date
11/18/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42000133 05 KY
34000224 05 KY
institution
Provider Business Practice Location Address Details
Address
201 Klutey Park Plaza
City
Henderson
State
Kentucky
Zip
42420-3345
Phone Number
270-827-4842
Fax Number
270-827-8244
person
Provider Business Mailing Address Details
Address
14841 Dallas Pkwy Ste 625
City
Dallas
State
Texas
Zip
75254-7641
Phone Number
214-445-3750
Fax Number
214-445-3902
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
150114 (Kentucky)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
150114 (Kentucky)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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