WICKSHIRE BLANKENBAKER OPCO, LLC (NPI# 1275140816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275140816 |
| Entity Type | Organization |
| Organization Name | WICKSHIRE BLANKENBAKER OPCO, LLC |
| Practice Address |
901 Blankenbaker Pkwy Louisville KY 40243-1884 |
| Mailing Address |
750 Old Hickory Blvd Brentwood TN 37027-4528 |
| Practice Telephone | 5022444244 |
| Mailing Telephone | 6159420240 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MR. DAN O'KEEFE (CEO) |
| Authorized Official Telephone | 6159420240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Wickshire Blankenbaker | Other Name - Individual/Organization |
| Street Address |
901 BLANKENBAKER PKWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396302113 | English Station Opco, LLC | Assisted Living Facility | 13700 English Villa Dr, Louisville, KY 40245-3938 | 2019-05-28 |
| 1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
| 1366879959 | Oaklawn Development Operations, LLC | Assisted Living Facility | 100 Shelby Station Dr, Louisville, KY 40245-4734 | 2013-09-27 |
| 1740522481 | One Family Inc | Assisted Living Facility | 2206 Heather Ln Apt 414, Louisville, KY 40218-1074 | 2013-03-20 |
| 1891087441 | Donna C. Robinson, Aprn, Pllc | Assisted Living Facility | 2646 Kings Hwy, Louisville, KY 40205-2649 | 2011-05-13 |
| 1043513500 | Quality Care Inc | Assisted Living Facility | 3917 Miser Station Rd, Louisville, TN 37777-3513 | 2010-12-06 |
| 1255645115 | A2002 Senior, LLC | Assisted Living Facility | 3451 S Hurstbourne Pkwy, Louisville, KY 40299-7398 | 2010-08-03 |
| 1356678890 | Emeritus Corporation | Assisted Living Facility | 9251 Stonestreet Rd, Louisville, KY 40272-2858 | 2009-11-04 |
| 1649427063 | Arden Courts of Louisville Ky LLC | Assisted Living Facility | 10451 Linn Station Rd, Louisville, KY 40223-3835 | 2008-08-27 |
| 1962669614 | Jrs&j Adult Care Center, Inc | Assisted Living Facility | 803 W Main St, Louisville, MS 39339-2539 | 2008-05-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
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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.