PJ'S PRIMARY CARE CENTER, INC. (NPI# 1801237557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801237557 |
| Entity Type | Organization |
| Organization Name | PJ'S PRIMARY CARE CENTER, INC. |
| Practice Address |
327 Clifty St Somerset KY 42501-1666 |
| Practice Telephone | 6066799009 |
| Practice Fax Number | 6066789883 |
| Mailing Telephone | 6066799009 |
| Mailing Fax Number | 6066789883 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | JANICE CLARK (PRESIDENT) |
| Authorized Official Telephone | 6066799009 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
327 CLIFTY ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| 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 |
|---|---|---|---|---|
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1225655343 | Forever Young Medical Day Care | Day Training, Developmentally Disabled Services | 18 Worlds Fair Dr Fl 1, Somerset, NJ 08873-1346 | 2020-07-06 |
| 1033749601 | Premier Supports, LLC | Day Training, Developmentally Disabled Services | 155 Pierce St, Somerset, NJ 08873-4168 | 2020-01-22 |
| 1710522495 | No Place Like Home | Day Training, Developmentally Disabled Services | 213 Cromer St, Somerset, KY 42503-9600 | 2019-11-17 |
| 1023580305 | Leone Home LLC | Day Training, Developmentally Disabled Services | 396 Girard Ave, Somerset, NJ 08873-3036 | 2018-12-26 |
| 1750864872 | Achievements Through Actions | Day Training, Developmentally Disabled Services | 905 Winding Ridge Dr, Somerset, KY 42503-6268 | 2018-09-14 |
| 1629586193 | Keelin-n-friends | Day Training, Developmentally Disabled Services | 15 Drake Rd, Somerset, NJ 08873-2323 | 2018-01-17 |
| 1861903122 | Everas Community Services, Inc. | Day Training, Developmentally Disabled Services | 24 Worlds Fair Dr Ste K, Somerset, NJ 08873-1349 | 2017-10-13 |
| 1912382219 | Wecare Homemakers | Day Training, Developmentally Disabled Services | 370 S Highway 27 Ste 21a, Somerset, KY 42501-2775 | 2015-07-28 |
| 1871973941 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 24 Steeplechase Ct, Somerset, NJ 08873-4807 | 2015-06-04 |
| Find all providers in SOMERSET | ||||
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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.