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KIMBERLY TACKETT
NPI 1063014025
Home Health in Lucasville, OH

Active since November 13, 2020
636 HOUSTON HOLLOW CANDY RUN RD, LUCASVILLE, OH 45648(740) 961-5702 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Tackett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY TACKETT (NPI 1063014025) is an individual home health provider in Lucasville, Ohio, licensed in Ohio (0000274977) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1063014025
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameKIMBERLY TACKETT
Location Address636 HOUSTON HOLLOW CANDY RUN RDLucasville, OH 45648-8423
Mailing Address636 Houston Hollow Candy Run RdLucasville, OH 45648-8423 · (740) 961-5702
Phone(740) 961-5702
Sole ProprietorYes
Enumeration DateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1063014025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in OH · 0000274977
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.
636 HOUSTON HOLLOW CANDY RUN RD, Lucasville, OH 45648
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Tackett's NPI number?

The NPI number for Kimberly Tackett is 1063014025. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Where is Kimberly Tackett located?

Kimberly Tackett practices at 636 Houston Hollow Candy Run Rd, Lucasville, OH 45648. The listed phone number is (740) 961-5702.

What is Kimberly Tackett's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Tackett was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.