JUDI'S PLACE FOR KIDS, INC. (NPI# 1972627164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972627164 |
Entity Type | Organization |
Organization Name | JUDI'S PLACE FOR KIDS, INC. |
Other Organization Name | JUDI'S PLACE FOR KIDS |
Practice Address |
106 Williamson St Pikeville KY 41501-1722 |
Mailing Address |
128 S. College St. Pikeville KY 41501 |
Practice Telephone | 6064377447 |
Mailing Telephone | 6064377447 |
Mailing Fax Number | 6064320508 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2011-12-07 |
Authorized Official Name | MRS. LAURA M. KRETZER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6064377447 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 13000096 | 05 |
Other Name | Type Code |
---|---|
Judi's Place for Kids | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | JUDI'S PLACE FOR KIDS, INC. | 128 S College St, Pikeville, KY 41501-1733 |
Street Address |
106 WILLIAMSON ST |
City | PIKEVILLE |
State | KY |
Zip Code | 41501-1722 |
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1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
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1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
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Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
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1053581025 | Gardner Yates Ministries,inc | Voluntary or Charitable | 114 Valley Brook Dr, Frankfort, KY 40601-4263 | 2008-03-06 |
1508985912 | Northern Kentucky Children's Advocacy Center | Voluntary or Charitable | 4890 Houston Road, Florence, KY 41042-1363 | 2007-03-28 |
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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.