LOUISVILLE PALLIATIVE CARE LLC (NPI# 1346472750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346472750 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE PALLIATIVE CARE LLC |
| Practice Address |
3625 Fern Valley Road Louisville KY 40219-1916 |
| Mailing Address |
5644 Reliable Parkway Chicago IL 60686-0056 |
| Practice Telephone | 5022625172 |
| Practice Fax Number | 5022446249 |
| Mailing Telephone | 5022625172 |
| Mailing Fax Number | 5022446249 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | DR. JANE E CORNETT (OWNER) |
| Authorized Official Telephone | 5022625172 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
25867 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100149990 | 05 |
| Street Address |
3625 FERN VALLEY ROAD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912129552 | Staci A Mandrola | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2007-05-03 |
| 1306344395 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
| 1033557848 | Kimberly Ellen Leake | Internal Medicine | 550 S Jackson St Fl 3, Louisville, KY 40202 | 2013-06-13 |
| 1134453582 | Partners In Palliative Care Pllc | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2009-10-01 |
| 1104846419 | Health Alliance Inc | Internal Medicine | 506 W Main St, Louisville, OH 44641-1310 | 2006-07-20 |
| 1881628857 | Lori Anne Earnshaw | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033320619 | Charles Kenny Maffet | Internal Medicine | 105 Diecks Dr, Elizabethtown, KY 42701-2444 | 2007-05-24 |
| 1104879105 | Hospice Care Plus, Inc | Internal Medicine | 208 Kidd Dr, Berea, KY 40403-9593 | 2006-05-18 |
| 1366742256 | Hospice of Southern Kentucky Inc | Internal Medicine | 5872 Scottsville Rd, Bowling Green, KY 42104-7853 | 2010-10-26 |
| 1285814400 | Melanie Tirronen Farrell | Internal Medicine | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2007-11-05 |
| City | LOUISVILLE |
| Zip Code | 40219 |
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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.