Provider Demographics
NPI:1720155401
Name:CNL HOMECARE, LLC
Entity type:Organization
Organization Name:CNL HOMECARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TROUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-403-1067
Mailing Address - Street 1:8401 SHELBYVILLE RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5586
Mailing Address - Country:US
Mailing Address - Phone:502-403-1093
Mailing Address - Fax:502-403-1083
Practice Address - Street 1:8401 SHELBYVILLE RD
Practice Address - Street 2:SUITE 213
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5586
Practice Address - Country:US
Practice Address - Phone:502-403-1093
Practice Address - Fax:502-403-1083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health