SPECTRE & QUEEN (NPI# 1982123212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982123212 |
| Entity Type | Organization |
| Organization Name | SPECTRE & QUEEN |
| Other Organization Name | FIRSTLIGHT OF THE FOOTHILLS |
| Practice Address |
326 S Court St Grayson KY 41143-1269 |
| Practice Telephone | (606) 393-0669 |
| Practice Fax Number | 6063930675 |
| Mailing Telephone | 6063930669 |
| Mailing Fax Number | 6063930675 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | SHADOW LEE SKAGGS (CO-OWNER) |
| Authorized Official Telephone | 6063930669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 500280 | KY | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | COMMONWEALTH OF KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES | 500280 | 01 |
| Other Name | Type Code |
|---|---|
| FirstLight of the Foothills | Doing Business As Name - Organization |
| Street Address |
326 S COURT ST |
| City | GRAYSON |
| State | KY |
| Zip Code | 41143-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1902414659 | Brittany Mckenzie | Counselor | 411 Cribbs Hill, Grayson, KY 41143 | 2020-07-20 |
| 1184175564 | Ashland Hospital Corporation | Physician Assistant | 13321 St Rt 2, Grayson, KY 41143 | 2016-10-20 |
| 1467800730 | Allison Horsley | Pharmacist | 600 Cw Stevens Blvd, Grayson, KY 41143 | 2016-05-27 |
| 1083896328 | Little Sandy District Health Department | Public Health or Welfare | Hitchins Rd, Grayson, KY 41143 | 2007-11-28 |
| 1396943890 | Karen Riffe Buckler | Nutritionist | Courthouse Main Street, Little Sandy District Health Dept, Grayson, KY 41143 | 2007-07-05 |
| 1053533638 | Community Presence, Inc. | Counselor | 1758 East Midland Trail, Grayson, KY 41143 | 2007-05-03 |
| 1811051113 | Allen Edward Hall | Counselor | 35 Raintree Lane, Grayson, KY 41143 | 2006-12-20 |
| 1487761243 | Sanjiv Gupta | Internal Medicine | 300 State Highway 1947, Grayson, KY 41143 | 2006-08-25 |
| 1679610562 | Glenda Mcglone | Counselor | 840 Interstate Dr, Grayson, KY 41143 | 2007-01-31 |
| Find all providers in zip 41143 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412638 | Shantel Leigh Jones | Respite Care | 2256 Spurr Rd, Lexington, KY 40511-9124 | 2020-09-18 |
| 1881101673 | Brian Carl, LLC | Respite Care | 11603 Shelbyville Rd Ste 10, Louisville, KY 40243-1371 | 2018-01-03 |
| 1154835510 | Honora Home Services, LLC | Respite Care | 3070 Harrodsburg Rd Ste 240, Lexington, KY 40503-2790 | 2017-11-21 |
| 1083132708 | Abbey Hill Group | Respite Care | 13101 Magisterial Dr Ste 102, Louisville, KY 40223-5138 | 2017-09-01 |
| 1851833222 | Cassandr Kidwell | Respite Care | 2945 Gardnersville Rd, Crittenden, KY 41030-8244 | 2016-11-16 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1609025352 | Fern Creek Highview United Ministries, Inc. | Respite Care | 9300 Beulah Church Rd, Louisville, KY 40291-2708 | 2008-09-17 |
| 1942476577 | Heartland Medical Supplies | Respite Care | 41 Railroad Cir, Bonnieville, KY 42713-8467 | 2008-05-04 |
| 1821276338 | Blue Grass Community Action Partnership, Inc | Respite Care | Mercer County Adult Day Care, 1475 Louisville Road, Harrodsburg, KY 40330 | 2008-02-06 |
| 1467595702 | Blue Grass Community Action Partnership, Inc. | Respite Care | 111 Professional Ct, Frankfort, KY 40601-8189 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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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.