GUARDIAN COMMUNITY LIVING-KENTUCKY, LLC (NPI# 1992064075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992064075 |
| Entity Type | Organization |
| Organization Name | GUARDIAN COMMUNITY LIVING-KENTUCKY, LLC |
| Practice Address |
10503 Timberwood Cir 116 Louisville KY 40223-5318 |
| Practice Telephone | 5024298003 |
| Practice Fax Number | 5024298043 |
| Mailing Telephone | 5024298003 |
| Mailing Fax Number | 5024298045 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | MR. DONALD IRELAND (CFO) |
| Authorized Official Telephone | 6153779140 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUARDIAN GROUP |
| 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 |
| Street Address |
10503 TIMBERWOOD CIR 116 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316176787 | John Abell Md Psc | Specialist | 10503 Timberwood Cir, Suite 116, Louisville, KY 40223-5318 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1740783679 | Gateway Residential Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4321 Southern Pkwy, Louisville, KY 40214-1583 | 2018-03-16 |
| 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 |
| 1578782470 | Tri-generations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11800 Brinley Ave, Suite 101, Louisville, KY 40243-3007 | 2007-04-25 |
| 1821112632 | Day Spring Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3430 Day Spring Ct, Louisville, KY 40213-1061 | 2007-03-19 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1154479392 | Bright Beginnings Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 N 18th St, Louisville, KY 40203-1266 | 2007-01-06 |
| 1255397212 | Meeting Challenges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2210 Goldsmith Ln Ste 122, Louisville, KY 40218-1038 | 2006-04-26 |
| 1093831992 | Christian Care Communities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12700 Shelbyville Rd, The Cumberland Building, Louisville, KY 40243-1576 | 2007-03-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
Please comment or provide details below to improve the information on GUARDIAN COMMUNITY LIVING-KENTUCKY, LLC.
| 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.