BLU WELL OF KENTUCKY LLC (NPI# 1184245730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184245730 |
| Entity Type | Organization |
| Organization Name | BLU WELL OF KENTUCKY LLC |
| Practice Address |
9408 Jo Ct Louisville KY 40299-1192 |
| Practice Telephone | 5026088959 |
| Mailing Telephone | 5026088959 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | SHAHERA BROWN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5026088959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
9408 JO CT |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40299-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
| 1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
| 1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1023496205 | Scotty Ray Newcomer | Family Medicine | 8511 Watterson Trl, Louisville, KY 40299 | 2015-05-08 |
| 1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
| 1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in zip 40299 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424144 | Dungarvin Kentucky, LLC - Louisville | Day Training, Developmentally Disabled Services | 901 Lily Creek Rd Ste 202, Louisville, KY 40243-2821 | 2020-07-15 |
| 1710532031 | Reliance of Kentucky LLC | Day Training, Developmentally Disabled Services | 3603 Lenoir Ave, Louisville, KY 40216-1134 | 2019-08-04 |
| 1720647142 | Caring Hands of Kentucky Adult Day and Neurorehab | Day Training, Developmentally Disabled Services | 800 Envoy Cir Ste 101, Louisville, KY 40299-2891 | 2019-06-10 |
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1871836486 | Help At Home, Kentuckey | Day Training, Developmentally Disabled Services | 13277 Obannon Station Way, Louisville, KY 40223-4188 | 2013-04-02 |
| 1881980670 | Guardian Community Living Louisville, LLC | Day Training, Developmentally Disabled Services | 5001 Crown Manor Pl, Suite 200, Louisville, KY 40218-3196 | 2011-06-21 |
| 1215226188 | Quality Care Scl,llc | Day Training, Developmentally Disabled Services | 1033 Hathaway Ave, Louisville, KY 40215-2709 | 2011-03-31 |
| 1588962328 | Guardian Community Living - Kentucky | Day Training, Developmentally Disabled Services | 10503 Timberwood Cir Ste 100, Louisville, KY 40223-5318 | 2011-03-02 |
| 1861650467 | Community Employment | Day Training, Developmentally Disabled Services | 1974 Douglass Blvd, Louisville, KY 40205-1826 | 2008-05-30 |
| 1669641635 | St. Mary's Center, Inc. | Day Training, Developmentally Disabled Services | 11700 Main St, Louisville, KY 40243-1426 | 2008-02-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40299 |
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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.