AT HOME CARE OF KENTUCKY, INC
NPI 1407589823
In Home Supportive Care in Bowling Green, KY

Active since July 04, 2022CLIA 18D2305951 · Waiver
1719 ASHLEY CIR STE 110, BOWLING GREEN, KY 42104(270) 904-0115(270) 904-0071 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2024, Jul 5, 2022 (2 updates tracked since 2022).

  • Organization
  • In Home Supportive Care
  • CLIA Number: 18D2305951
  • CLIA Cert. Type: Other - PRIVATE DUTY NURSING AGEN
  • CLIA Exp. Date: 06-09-2028

About AT HOME CARE OF KENTUCKY, INC

This page provides the complete NPI Profile along with additional information for At Home Care Of Kentucky, Inc, a provider established in Bowling Green, Kentucky operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1407589823 assigned on July 2022. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mrs. Christy Dawn Stephens (Owner/executive Director)

NPI
1407589823 Verify this NPI
Provider Name
AT HOME CARE OF KENTUCKY, INC
Entity Type
Organization
Location Address
1719 ASHLEY CIR STE 110 BOWLING GREEN, KY 42104
Location Phone
(270) 904-0115
Location Fax
(270) 904-0071
Mailing Address
1719 ASHLEY CIR STE 110 BOWLING GREEN, KY 42104
Mailing Phone
(270) 904-0115
Mailing Fax
(270) 904-0071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-04-2022
Last Update Date
12-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CHRISTY DAWN STEPHENS

Authorized Official Title
OWNER/EXECUTIVE DIRECTOR
Authorized Official Phone
(615) 232-8769

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2305951
Facility Type
Other - PRIVATE DUTY NURSING AGEN
Certificate Effective Date
June 10, 2026
Certificate Expiration Date
June 09, 2028
Laboratory Director
MS. CHRISTY D. STEPHENS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to At Home Care Of Kentucky, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nursing Care
1719 ASHLEY CIR STE 110
BOWLING GREEN, KY 42104
Social Worker
1719 ASHLEY CIR STE 110
BOWLING GREEN, KY 42104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407589823, enumerated as an "organization" on July 04, 2022.

The provider is located at 1719 ASHLEY CIR STE 110 BOWLING GREEN, KY 42104 and the phone number is (270) 904-0115.

In Home Supportive Care with taxonomy code 253Z00000X.