CORNELL MEMORY CENTER (NPI# 1083094932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083094932 |
| Entity Type | Organization |
| Organization Name | CORNELL MEMORY CENTER |
| Practice Address |
101 North Drive Hopkinsville KY 42240 |
| Mailing Address |
12710 Townepark Way Suite 1000 Louisville KY 40243-2534 |
| Practice Telephone | 2708851375 |
| Practice Fax Number | 2708851377 |
| Mailing Telephone | 5022544258 |
| Mailing Fax Number | 5022544209 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | DONNA JO SMITH (DIRECTOR, CENTRAL BILLING OFFICE) |
| Authorized Official Telephone | 5022544258 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIAN CARE COMMUNITIES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
101 NORTH DRIVE |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| 1316370513 | Lisa Powell | Registered Nurse | 3999 Ft. Campbell Blvd, Hopkinsville, KY 42240 | 2013-08-12 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1902423270 | Advantage Health Club | Clinic/Center | 1711 Destiny Ln Ste 112, Bowling Green, KY 42104-1067 | 2020-07-02 |
| 1356974646 | Buena Vida Adhc, LLC | Clinic/Center | 4620 Preston Hwy, Louisville, KY 40213-2146 | 2020-02-15 |
| 1760037188 | Be Positive | Clinic/Center | 4511 Bardstown Rd Ste 1017, Louisville, KY 40218-4001 | 2019-08-02 |
| 1467004069 | Allied Adult Day Care, LLC | Clinic/Center | 4026 Frederica St, Owensboro, KY 42301-7427 | 2019-07-12 |
| 1154983898 | Freedom Day Healthcare, LLC | Clinic/Center | 195 N Buckman St Ste 2, Shepherdsville, KY 40165-5901 | 2019-07-02 |
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1508426008 | Adult Day Health, Inc. | Clinic/Center | 325 Keen Street, Burkesville, KY 42717 | 2019-06-17 |
| 1912567637 | Adult Day Health, Inc. | Clinic/Center | 517b N 15th St, Middlesboro, KY 40965-1125 | 2019-06-14 |
| 1609436328 | Adult Day Health, Inc. | Clinic/Center | 619 Danville Ave, Stanford, KY 40484-1022 | 2019-06-14 |
| 1346800067 | Adult Day Health, Inc. | Clinic/Center | 101 Industrial Park Rd Ste 2, Greensburg, KY 42743-1383 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on CORNELL MEMORY CENTER.
| 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.