THE DEGONDABA SCHOOL, INC. (NPI# 1881117166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881117166 |
| Entity Type | Organization |
| Organization Name | THE DEGONDABA SCHOOL, INC. |
| Practice Address |
5110 Stony Brook Drive Louisville KY 40291 |
| Mailing Address |
5110 Stony Brook Dr Louisville KY 40291-1703 |
| Practice Telephone | (952) 215-5231 |
| Mailing Telephone | 9522155231 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | MR. JOHN JAMES DEGONDA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9522155231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
5110 STONY BROOK DRIVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108278 | Andrea Herndon | Physician Assistant | 10710 Marceitta Ct, Louisville, KY 40291 | 2016-07-18 |
| 1033536602 | Jennifer Rose Fowler | Social Worker | 10300 Brookridge Villeage Blvd., Suite 104, Louisville, KY 40291 | 2014-03-21 |
| 1740602069 | Brittney Tatum | Licensed Practical Nurse | 9500 Glen Trace Ln, Louisville, KY 40291 | 2014-01-07 |
| 1326392895 | Lisa J Fetter | Nurse Practitioner | 6413 Bardstown Rd, Louisville, KY 40291 | 2012-11-05 |
| 1275829137 | Carolyn Estep Book | Counselor | 9612 Farmstead Lane, Louisville, KY 40291 | 2011-06-20 |
| 1023309028 | Julie Klein Hawkins | Pharmacist | 8014 Bardstown Rd., Louisville, KY 40291 | 2011-04-25 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1962548198 | Morgan Howard | Chiropractor | 5501 Bardstown Rd, Louisville, KY 40291 | 2007-01-29 |
| 1407992258 | Deanna H Smith | Social Worker | 9409 Cedar Look Drive, Louisville, KY 40291 | 2007-01-29 |
| 1598853731 | Kenneth Austin Bell | Dentist | 8002 N Watterson Tr, Louisville, KY 40291 | 2006-10-11 |
| Find all providers in zip 40291 | ||||
| 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 |
| 1184245730 | Blu Well of Kentucky LLC | Day Training, Developmentally Disabled Services | 9408 Jo Ct, Louisville, KY 40299-1192 | 2020-05-05 |
| 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 |
| 1871836486 | Help At Home, Kentuckey | Day Training, Developmentally Disabled Services | 13277 Obannon Station Way, Louisville, KY 40223-4188 | 2013-04-02 |
| 1881980670 | Guardian Community Living Louisville, LLC | Day Training, Developmentally Disabled Services | 5001 Crown Manor Pl, Suite 200, Louisville, KY 40218-3196 | 2011-06-21 |
| 1215226188 | Quality Care Scl,llc | Day Training, Developmentally Disabled Services | 1033 Hathaway Ave, Louisville, KY 40215-2709 | 2011-03-31 |
| 1588962328 | Guardian Community Living - Kentucky | Day Training, Developmentally Disabled Services | 10503 Timberwood Cir Ste 100, Louisville, KY 40223-5318 | 2011-03-02 |
| 1861650467 | Community Employment | Day Training, Developmentally Disabled Services | 1974 Douglass Blvd, Louisville, KY 40205-1826 | 2008-05-30 |
| 1669641635 | St. Mary's Center, Inc. | Day Training, Developmentally Disabled Services | 11700 Main St, Louisville, KY 40243-1426 | 2008-02-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40291 |
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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.