Provider Demographics
NPI:1306271366
Name:NHOME
Entity type:Organization
Organization Name:NHOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH GAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:502-498-4977
Mailing Address - Street 1:PO BOX 4877
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-0877
Mailing Address - Country:US
Mailing Address - Phone:502-498-4977
Mailing Address - Fax:
Practice Address - Street 1:1431 HEPBURN AVE
Practice Address - Street 2:#1
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1652
Practice Address - Country:US
Practice Address - Phone:502-498-4977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty