<Unavail>

LBN: J & R Lagrange, Llc
<Unavail> is an health care organization with primary practice located at 1012 Richwood Way , Lagrange KY 40031-8930. The organization recently has 8 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Prosthetic/Orthotic Supplier. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. J & R Lagrange, Llc can be contacted via phone (502) 222-3186, or through Bowman, Mark via phone (859) 272-6682.

Contact Information

Primary practice address
1012 Richwood Way Lagrange KY 40031-8930
Phone: (502) 222-3186
Fax: (502) 222-6535
Website:
Map and Directions
Authorized official contact:
Name: Bowman, Mark
Phone: (859) 272-6682

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100818 Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 100818 Kentucky
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 100818 Kentucky
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 100818 Kentucky

Profile Details

NPI number 1700978806
LBN Legal business name J & R Lagrange, Llc
DBA Doing business as <Unavail>
Authorized official Bowman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Jun 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700978806 NPPES
Kentucky Other 000000054853 ANTHEM BC/BS
Kentucky Other 2702411000 ANTHEM BC/BS
Kentucky MEDICAID 12503413 ANTHEM BC/BS

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