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PRACTICARE HOME CARE SERVICES, LLC
NPI 1265943716
Nurse Practitioner - Family in Louisville, KY

Active since October 23, 2017
1667 RUSSELL LEE DR, LOUISVILLE, KY 40211(502) 609-0589 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Apr 10, 2020, Mar 16, 2020 and 1 more (4 updates tracked since 2017).

About Practicare Home Care Services, Llc NPPES

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

PRACTICARE HOME CARE SERVICES, LLC (NPI 1265943716) is a healthcare organization registered as a family in Louisville, Kentucky and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Louisville and lists Dephany Bibb, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1265943716
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRACTICARE HOME CARE SERVICES, LLC
Location Address1667 RUSSELL LEE DRLouisville, KY 40211
Mailing Address1667 Russell Lee DrLouisville, KY 40211-4305 · (502) 609-0589
Phone(502) 609-0589
Organization SubpartNo
Authorized OfficialDephany BibbOwner/provider · (502) 609-0589
Enumeration DateOctober 23, 2017
Last NPPES UpdateApril 15, 20204 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1265943716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1667 RUSSELL LEE DR, Louisville, KY 40211
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Secondary Practice Location 1

Location 11667 Russell Lee DrLouisville, KY 40211-4305 · Phone (502) 609-0589

Other Identifiers 2

Medicaid7100188560KY
OtherK029120KY · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2187630

Practicare Home Care Services, LLC · Louisville, KY
Expired · Jul 5, 2026
CLIA Number18D2187630
Laboratory TypePractitioner Other
Certificate Effective DateJuly 6, 2024
Certificate Expiration DateJuly 5, 2026
Laboratory DirectorMs. Dephany L. Bibb
Laboratory Phone(502) 939-6036
Laboratory LocationPracticare Home Care Services, LLC1667 Russell Lee Dr, Louisville, KY 40211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Practicare Home Care Services, LLC's NPI number?

The NPI number for Practicare Home Care Services, LLC is 1265943716. It was assigned to this organization in the NPPES registry on October 23, 2017.

Where is Practicare Home Care Services, LLC located?

Practicare Home Care Services, LLC is located at 1667 Russell Lee Dr, Louisville, KY 40211. The listed phone number is (502) 609-0589.

What is Practicare Home Care Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Practicare Home Care Services, LLC was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.