Provider Demographics
NPI:1962425074
Name:SAINT JOSEPH HOME HEALTH SERVICES
Entity type:Organization
Organization Name:SAINT JOSEPH HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OMIDY
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:859-277-5111
Mailing Address - Street 1:1736 ALEXANDRIA DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3112
Mailing Address - Country:US
Mailing Address - Phone:859-277-5111
Mailing Address - Fax:859-278-0597
Practice Address - Street 1:1736 ALEXANDRIA DR
Practice Address - Street 2:SUITE 225
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3112
Practice Address - Country:US
Practice Address - Phone:859-277-5111
Practice Address - Fax:859-278-0597
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT JOSEPH HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-26
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000000000222693OtherANTHEM BCBS PROVIDER #
KY062110315OtherUS DEPT OF LABOR PROV #
KY34022343Medicaid
KY6000173OtherUHC UNIQUE PROVIDER #
KY000000000000222693OtherANTHEM BCBS PROVIDER #
KY34022343Medicaid