Provider Demographics
NPI:1730694266
Name:ORCHID HOUSE, INC.
Entity type:Organization
Organization Name:ORCHID HOUSE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLESSITT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:502-744-9111
Mailing Address - Street 1:703 S 31ST ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40211-1410
Mailing Address - Country:US
Mailing Address - Phone:502-290-2421
Mailing Address - Fax:502-290-3779
Practice Address - Street 1:703 S 31ST ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211
Practice Address - Country:US
Practice Address - Phone:502-290-2421
Practice Address - Fax:502-290-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
252Y00000X
KY3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No252Y00000XAgenciesEarly Intervention Provider Agency