NPI 1154201044

Justin Grooms

Practitioner Home Health Aide Princeton, KY

Practice location

Address: 413 N Donnivan St, Princeton, KY 42445-1311
Phone: (657) 217-4006
Mailing address: 6100 de Soto Ave APT 1235, Woodland Hills, CA 91367-3784

Registered specialties (2)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Kentucky →

Community Based Hospice Care Agency

Agencies Taxonomy 251G00000X

Other Hospice Care, Community Based providers in Kentucky →

Registry record

NPI: 1154201044
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2025
Record last updated: 3 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.