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Jamarian Jevon Hawthorne
Home Health Agency in Louisville, Kentucky
NPI 1720605850

Jamarian Jevon Hawthorne is a Home Health Agency based in Louisville, KY. Jamarian Jevon Hawthorne practices in Louisville, KY. The NPI Number for Jamarian Jevon Hawthorne is 1720605850 and holds a License No. (Kentucky).

The current practice location address for Jamarian Jevon Hawthorne is 7813 Beulah Church Rd Unit 110, Louisville, KY and can be reached out via phone at 502-975-1733.

Location: 7813 Beulah Church Rd Unit 110, Louisville, KY, 40228-1773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720605850
Provider Name
Jamarian Jevon Hawthorne
Credential
Provider Entity Type
Individual
Gender
Male
Address
7813 Beulah Church Rd Unit 110, Louisville, KY, 40228-1773
Phone Number
502-975-1733
Fax Number
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
850751282 01 IRS
institution
Provider Business Practice Location Address Details
Address
7813 Beulah Church Rd Unit 110
City
Louisville
State
Kentucky
Zip
40228-1773
Phone Number
502-975-1733
Fax Number
person
Provider Business Mailing Address Details
Address
7813 Beulah Church Rd Unit 110
City
Louisville
State
Kentucky
Zip
40228-1773
Phone Number
502-975-1733
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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.
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