GREEN RIVER AREA DEVELOPMENT DISTRICT (NPI# 1003033085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003033085 |
| Entity Type | Organization |
| Organization Name | GREEN RIVER AREA DEVELOPMENT DISTRICT |
| Other Organization Name | GREEN RIVER AREA AGENCY ON AGING |
| Practice Address |
300 Gradd Way Owensboro KY 42301-8696 |
| Practice Telephone | 2709264433 |
| Practice Fax Number | 2706840714 |
| Mailing Telephone | 2709264433 |
| Mailing Fax Number | 2706840714 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-10-04 |
| Authorized Official Name | MR. JITEN SHAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2709264433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | KY | Agencies | |
| N | 251B00000X | Case Management | KY | Agencies | |
| Y | 251X00000X | Supports Brokerage | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 43996032 | 05 | |
| KY | 17000720 | 05 | |
| KY | 33001371 | 05 |
| Other Name | Type Code |
|---|---|
| Green River Area Agency on Aging | Other Name - Individual/Organization |
| Street Address |
300 GRADD WAY |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-8696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780185181 | Lake Cumberland Veterans Directed Services | Supports Brokerage | 2384 Lakeway Dr, Russell Springs, KY 42642-4509 | 2018-02-22 |
| 1265610828 | Buckhorn Lake Area Support Team, Inc | Supports Brokerage | 5053 N Ky Highway 15, Bonnyman, KY 41719-8972 | 2008-02-06 |
| 1831391853 | Mending Hearts | Supports Brokerage | 95 Fields Clf, Whitesburg, KY 41858-7338 | 2007-06-01 |
| 1275745176 | Fivco Add Cdo As Fiscal Agent | Supports Brokerage | 1212 Bath Ave., Suite 650, Ashland, KY 41101 | 2007-05-04 |
| 1912023227 | Bluegrass Area Development District | Supports Brokerage | 699 Perimeter Dr, Lexington, KY 40517-4287 | 2007-03-21 |
| 1104958370 | Northern Kentucky Consumer Directed Options Program | Supports Brokerage | 22 Spiral Dr, Florence, KY 41042-1300 | 2007-03-12 |
| 1629109491 | Cumberland Valley Area Agency On Aging | Supports Brokerage | 342 Old Whitley Rd, London, KY 40744-8212 | 2007-03-07 |
| 1770611683 | Kentuckiana Regional Planning and Development Agency | Supports Brokerage | 11520 Commonwealth Dr, Louisville, KY 40299-2340 | 2007-03-01 |
| 1316082407 | Department for Aging and Independent Living | Supports Brokerage | 275 East Main 3wf, Frankfort, KY 40621 | 2007-02-20 |
| 1972646073 | Buffalo Trace Area Development District | Supports Brokerage | 201 Government St, Suite 300, Maysville, KY 41056-1260 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.