BLUEGRASS ADULT CARE, LLC (NPI# 1184253361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184253361 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS ADULT CARE, LLC |
| Practice Address |
2317 Cumberland Ave Middlesboro KY 40965-2834 |
| Practice Telephone | 6062694729 |
| Mailing Telephone | 6062694729 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | MR. SHERRILL KING (OWNER/CEO) |
| Authorized Official Telephone | 6062694729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
2317 CUMBERLAND AVE |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871693960 | Cheung Shin | Internal Medicine | 2317 Cumberland Ave, Middlesboro, KY 40965-2834 | 2006-09-25 |
| 1366904302 | Brittany Jean Slone | Registered Nurse | 2317 Cumberland Ave, Middlesboro, KY 40965-2834 | 2019-04-01 |
| 1932649605 | Tri-state Familycare, Inc | Nurse Practitioner | 2317 Cumberland Ave, Middlesboro, KY 40965-2834 | 2017-03-01 |
| 1437281649 | Larry B Roark | Nurse Practitioner | 2317 Cumberland Ave, Middlesboro, KY 40965-2834 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912567637 | Adult Day Health, Inc. | Clinic/Center | 517b N 15th St, Middlesboro, KY 40965-1125 | 2019-06-14 |
| 1528038080 | Comprehensive Home Health Care Services, Inc. | Clinic/Center | 110 E Lothbury Ave, Middlesboro, KY 40965-2846 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1477039683 | American Health Management, Inc. | Clinic/Center | 960 S 4th St, Louisville, KY 40203-3252 | 2018-07-11 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.