MODERN CARE LLC (NPI# 1922527522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922527522 |
Entity Type | Organization |
Organization Name | MODERN CARE LLC |
Practice Address |
104 Nancy Cox Dr Ste D Campbellsville KY 42718-6835 |
Practice Telephone | (270) 465-8508 |
Practice Fax Number | 2704658504 |
Mailing Telephone | 2704658508 |
Mailing Fax Number | 2704658504 |
Enumeration Date | 2017-09-14 |
Last Update Date | 2017-09-14 |
Authorized Official Name | STACEY JEWELL (PROGRAM DIRECTOR) |
Authorized Official Telephone | 2704658508 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100144580 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659673655 | Modern Care LLC | Custodial Care Facility | 104 Nancy Cox Dr, Suite D, Campbellsville, KY 42718-6834 | 2010-11-23 |
1790395507 | Modern Care LLC | In Home Supportive Care | 860 S. Hwy 89/91, Logan, UT 84321-5919 | 2020-08-06 |
Street Address |
104 NANCY COX DR STE D |
City | CAMPBELLSVILLE |
State | KY |
Zip Code | 42718-6835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
Find all providers in zip 42718 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356643548 | Reach for The Stars Case Management | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Tammie Trl, Campbellsville, KY 42718-3310 | 2010-11-22 |
1427261486 | Tri-generations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 436 Hotchkiss St, Campbellsville, KY 42718-1340 | 2007-05-07 |
1881710796 | Christian Care Communities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4142 Old Columbia Rd, Campbellsville, KY 42718-9352 | 2007-03-22 |
1619594579 | Sustainable Living Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 869 Hogards Chapel Rd, Campbellsville, KY 42718-8871 | 2020-06-26 |
1770879058 | Tri-generations LLC Central Ky | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 436 Hotchkiss St, Campbellsville, KY 42718-1340 | 2011-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871137414 | Loving Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9105 Kingdom Way, Louisville, KY 40291-3131 | 2019-11-06 |
1245883859 | Community and Family Empowerment | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11106 Decimal Dr, Louisville, KY 40299-2440 | 2019-07-23 |
1740840925 | Infinite Abilities & Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2012 N Highway 1247, Somerset, KY 42503-4601 | 2019-06-19 |
1215423827 | Comfortable Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Williams Rd, Nicholasville, KY 40356-1988 | 2018-07-06 |
1740783679 | Gateway Residential Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4321 Southern Pkwy, Louisville, KY 40214-1583 | 2018-03-16 |
1023518289 | Communitty Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7979 Alexandria Pike, Alexandria, KY 41001-1157 | 2018-02-14 |
1043650245 | D&s Residential Services, Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 259 R Old Flemingsburg Rd., Morehead, KY 40351-1047 | 2013-07-02 |
1164787958 | Agape Community Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4200 Wallingford Ln, Louisville, KY 40218-2720 | 2012-07-09 |
1114299765 | Tranquility Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3935 Rockhouse Creek Rd, Salyersville, KY 41465-9099 | 2012-01-28 |
1306134184 | Serenity Foundations, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 128 Brians Way, Somerset, KY 42501-6151 | 2011-07-14 |
Find all providers with the same taxonomy |
City | CAMPBELLSVILLE |
Zip Code | 42718 |
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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.