T.A.C.K. FOR LIFE (NPI# 1699031500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699031500 |
| Entity Type | Organization |
| Organization Name | T.A.C.K. FOR LIFE |
| Practice Address |
3041 Ky Rte 7 Wayland KY 41666 |
| Mailing Address |
Po Box 183 3041 Ky Rt 7 Wayland KY 41666 |
| Practice Telephone | 6064472493 |
| Mailing Telephone | 6064472493 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |
| Authorized Official Name | MR. KEVIN C WEBB (OWNER) |
| Authorized Official Telephone | 6062052013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | KY | Agencies | |
| N | 253Z00000X | In Home Supportive Care | KY | Agencies | |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
3041 KY RTE 7 |
| City | WAYLAND |
| State | KY |
| Zip Code | 41666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871909432 | Eastern Kentucky Speech and Language Clinic | Speech-Language Pathologist | 3041 Ky Rt 7, Wayland, KY 41666 | 2014-07-03 |
| 1811122344 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 2662 King Kelly Coleman Hwy, Wayland, KY 41666 | 2009-05-28 |
| 1790958148 | Karen Denise Gooslin | Internal Medicine | 2662 King Kelly Coleman Highway, Wayland, KY 41666 | 2008-04-07 |
| 1952430613 | Tina L Webb | Speech-Language Pathologist | 3041 Ky Rt.7, Wayland, KY 41666-0183 | 2007-03-05 |
| 1053684944 | Opportunities Unlimited, LLC | Case Management | 1197 Ky Route 7, Wayland, KY 41666-6845 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760343 | Dorothy Christine Whitman | Registered Nurse | Wayland -cohocton Central School, 2350 Route 63, Wayland, NY 14572 | 2020-11-06 |
| 1982204145 | Robin Sklar | Occupational Therapist | 18 Brooks Rd, Wayland, MA 01778-4622 | 2020-10-27 |
| 1316545171 | Joan Patricia Cho-sik | Social Worker | 47 Grove Street, Wayland, MA 01778 | 2020-10-14 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1538774849 | Grace Frederickson | Student in an Organized Health Care Education/Training Program | 820 Meadow Dr, Wayland, MI 49348-1369 | 2020-09-14 |
| 1386256204 | Allyson Sahrle | Midwife | 200 S Lackawanna St, Wayland, NY 14572-1440 | 2020-08-21 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1801413679 | Amanda Ilene Bovee | Technician | 4214 14th St, Wayland, MI 49348-8916 | 2020-06-28 |
| 1104440932 | Alethea Desrosiers | Psychologist | 13 Rice Spring Ln, Wayland, MA 01778-3509 | 2020-06-08 |
| 1154955474 | Wendy Israel | Speech-Language Pathologist | 18 Pine Needle Rd, Wayland, MA 01778-4428 | 2020-02-25 |
| Find all providers in WAYLAND | ||||
| 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 |
| 1972120152 | Engage Support Services, LLC | Day Training, Developmentally Disabled Services | 2526 Regency Rd Ste 140, Lexington, KY 40503-2996 | 2020-07-03 |
| 1184245730 | Blu Well of Kentucky LLC | Day Training, Developmentally Disabled Services | 9408 Jo Ct, Louisville, KY 40299-1192 | 2020-05-05 |
| 1710522495 | No Place Like Home | Day Training, Developmentally Disabled Services | 213 Cromer St, Somerset, KY 42503-9600 | 2019-11-17 |
| 1407407646 | Rha Health Services Ky LLC | Day Training, Developmentally Disabled Services | 102 Caky Dr, Benton, KY 42025-7592 | 2019-09-27 |
| 1295386449 | Rha Health Services Ky LLC | Day Training, Developmentally Disabled Services | 264 Broadway St, Hazard, KY 41701-1422 | 2019-09-27 |
| 1376194522 | Rha Health Services Ky LLC | Day Training, Developmentally Disabled Services | 2950 Corporate Dr, Winchester, KY 40391-7948 | 2019-09-27 |
| 1922659853 | Bluegrass Family Agency Inc | Day Training, Developmentally Disabled Services | 704 Spradlin Br, Prestonsburg, KY 41653-1840 | 2019-09-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.