MODERN CARE LLC


Address: 104 Nancy Cox Dr Ste D, Campbellsville, KY 42718-6835
Phone: (270) 465-8508

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100144580 05

Other Provider IDs and Locations

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

Office Location

Street Address 104 NANCY COX DR STE D
City CAMPBELLSVILLE
State KY
Zip Code 42718-6835

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CAMPBELLSVILLE
Zip Code 42718

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Dataset Information

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.

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