IndividualActive
Kimberly Tackett
NPI 1063014025 · Home Health Agency · Lucasville, OH
Provider details
- NPI number
- 1063014025
- Entity type
- Individual
- Primary specialty
- Home Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0000274977 (OH)
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
636 Houston Hollow Candy Run Rd
Lucasville, OH 45648-8423
Phone: (740) 961-5702
Street-level locationGet directions
Mailing address
636 Houston Hollow Candy Run Rd
Lucasville, OH 45648-8423
Registry dates
- Enumerated
- 2020-11-13
- Last updated
- 2020-11-13
- Certified
- 2020-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.