TRI-GENERATIONS, LLC (NPI# 1174736128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174736128 |
| Entity Type | Organization |
| Organization Name | TRI-GENERATIONS, LLC |
| Other Organization Name | NORTHERN OFFICE |
| Practice Address |
256 Main St Florence KY 41042-2078 |
| Practice Telephone | 8593412900 |
| Practice Fax Number | 8593410292 |
| Mailing Telephone | 8593412900 |
| Mailing Fax Number | 8593410292 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | DONNA M TURNER (EXECUTIVE DIRECTOR NORTHERN KY) |
| Authorized Official Telephone | 8593412900 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-GENERATIONS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100144270 | 05 |
| Other Name | Type Code |
|---|---|
| NORTHERN OFFICE | Other Name - Individual/Organization |
| Street Address |
256 MAIN ST |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-2078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712856 | Community Options Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 330 E Fourth St, Florence, NJ 08518-2012 | 2017-11-01 |
| 1184769069 | Nonotuck Resource Associates, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Main Street, Suite 1, Florence, MA 01062 | 2007-02-20 |
| 1679699581 | Christian Care Communities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8172 Mall Rd, Suite 231, Florence, KY 41042-1499 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137414 | Loving Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9105 Kingdom Way, Louisville, KY 40291-3131 | 2019-11-06 |
| 1245883859 | Community and Family Empowerment | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11106 Decimal Dr, Louisville, KY 40299-2440 | 2019-07-23 |
| 1740840925 | Infinite Abilities & Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2012 N Highway 1247, Somerset, KY 42503-4601 | 2019-06-19 |
| 1215423827 | Comfortable Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Williams Rd, Nicholasville, KY 40356-1988 | 2018-07-06 |
| 1740783679 | Gateway Residential Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4321 Southern Pkwy, Louisville, KY 40214-1583 | 2018-03-16 |
| 1023518289 | Communitty Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7979 Alexandria Pike, Alexandria, KY 41001-1157 | 2018-02-14 |
| 1922527522 | Modern Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Nancy Cox Dr Ste D, Campbellsville, KY 42718-6835 | 2017-09-14 |
| 1043650245 | D&s Residential Services, Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 259 R Old Flemingsburg Rd., Morehead, KY 40351-1047 | 2013-07-02 |
| 1164787958 | Agape Community Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4200 Wallingford Ln, Louisville, KY 40218-2720 | 2012-07-09 |
| 1114299765 | Tranquility Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3935 Rockhouse Creek Rd, Salyersville, KY 41465-9099 | 2012-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRI-GENERATIONS, LLC.
| 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.