Provider Demographics
NPI:1104281260
Name:DONAHOE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:DONAHOE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:T
Authorized Official - Last Name:DONAHOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-542-4371
Mailing Address - Street 1:3216 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CATLETTSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41129-1158
Mailing Address - Country:US
Mailing Address - Phone:304-542-4371
Mailing Address - Fax:
Practice Address - Street 1:3216 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:CATLETTSBURG
Practice Address - State:KY
Practice Address - Zip Code:41129-1158
Practice Address - Country:US
Practice Address - Phone:304-542-4371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care