MOUNTAIN SERENITY, INC. (NPI# 1235174335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235174335 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN SERENITY, INC. |
| Practice Address |
490 Williams Branch Rd Hazard KY 41701-7055 |
| Practice Telephone | 6063782215 |
| Practice Fax Number | 6063782223 |
| Mailing Telephone | 6063782215 |
| Mailing Fax Number | 6063782223 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES LYNDON GRIGSBY (PRESIDENT) |
| Authorized Official Telephone | 6063782215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251B00000X | Case Management | 33000803 | KY | Agencies |
| X | 251C00000X | Day Training, Developmentally Disabled Services | 33000803 | KY | Agencies |
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33000803 | KY | Residential Treatment Facilities |
| X | 385H00000X | Respite Care | 33000803 | KY | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 33000803 | 05 |
| Street Address |
490 WILLIAMS BRANCH RD |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038422 | Mountain Ridge Community Care Inc | Case Management | 420 Baker Ave Apt 103, Hazard, KY 41701-1871 | 2016-04-19 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1265713275 | One Source Case Management Services | Case Management | 451 Meadowbrook Rd, Hazard, KY 41701-5470 | 2011-09-03 |
| 1760670566 | Alternative Lifeskills Inc | Case Management | 59 E Main St, Hazard, KY 41701-1938 | 2007-10-07 |
| 1952433112 | Mountain Horizon of Hope,inc. | Case Management | 1979 N Ky Highway 15 Ste 3, Hazard, KY 41701-5620 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159527 | Audubon Area Community Services, Inc | Case Management | 1700 W 5th St, Owensboro, KY 42301-1952 | 2020-06-23 |
| 1043835739 | Reva Kathleen Bieger | Case Management | 712 Butler St, Carrollton, KY 41008-1354 | 2020-06-09 |
| 1649890021 | Nexus Advocates, LLC | Case Management | 1229 S Shelby St, Louisville, KY 40203-2626 | 2020-04-25 |
| 1033749148 | Amalia Maria Harris | Case Management | 530 Fairview Dr, Paducah, KY 42001-6009 | 2020-01-17 |
| 1720622723 | Stephen Paul Whitaker | Case Management | 1409 Highway 3057, Somerset, KY 42501-3363 | 2019-11-01 |
| 1689221764 | Barnabas Home Inc | Case Management | 95 Campus Drive, Annville, KY 40402 | 2019-08-22 |
| 1861049553 | Kenyatta Tanae Thomas | Case Management | 2211 Storey Ct, Lexington, KY 40515-1903 | 2019-08-19 |
| 1730696741 | Johanna Ailster | Case Management | 221 Ridge Street, South Shore, KY 41175-0260 | 2017-12-29 |
| 1124541230 | Tatyanas Case Management, LLC | Case Management | 908 Dupont Rd # 101, Louisville, KY 40207-4602 | 2017-07-20 |
| 1194248633 | Debbie Dillon LLC | Case Management | 1304 Bobbi Ct, Bowling Green, KY 42103-6500 | 2017-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOUNTAIN SERENITY, INC..
| 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.