Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kentucky Custom Care Professionals

Organization Home Health Registered Nurse · NPI 1922643287

Kentucky Custom Care Professionals is a Home Health Registered Nurse in Boston, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

3200 Patton Rd
Boston, KY 40107-8700
Phone: (502) 331-1085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X
Home Health Registered Nurse Taxonomy 163WH0200X
Adult Companion Taxonomy 372600000X

Record details

NPI number1922643287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Fenwick — Owner · (502) 331-1085
Other names Kentucky Custom Care Professionals; Kentucky Custom Care Professionals
NPI enumeratedNovember 11, 2019
Last updated in NPPESNovember 12, 2019
Mailing address3200 Patton Rd, Boston, KY 40107-8700