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HOME OF THE INNOCENTS NPI 1780639690


NPI Information

NPI: 1780639690
Provider Name: HOME OF THE INNOCENTS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1100 E MARKET ST.
LOUISVILLE, KY
ZIP 40206
Phone: (502) 596-1000
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HOME OF THE INNOCENTS is a pediatrics in Louisville, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HOME OF THE INNOCENTS NPI is 1780639690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 E MARKET ST.
LOUISVILLE, KY
ZIP 40206
Phone: (502) 596-1000
Fax: (502) 596-1413

The provider's authorized official is David Mcdonald .
The authorized official title is Chief Finance Officier and has the following contact phone number (502) 596-1039.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 10/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2103TC0700XPsychologistClinicalNo
3106H00000XMarriage & Family TherapistNo
4225X00000XOccupational Therapist101130KENTUCKYNo
5225100000XPhysical Therapist101130KENTUCKYNo
6235Z00000XSpeech-Language PathologistNo
7237600000XAudiologist-Hearing Aid FitterNo
8251B00000XCase Management740143KENTUCKYNo
9251S00000XCommunity/Behavioral HealthNo
10261QR0400XClinic/CenterRehabilitation101130KENTUCKYNo
113140N1450XSkilled Nursing FacilityNursing Care, Pediatric100493KENTUCKYNo
12363LP0200XNurse PractitionerPediatricsNo
13208000000XPediatrics740143KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100305090MEDICAIDKENTUCKY
27100268020MEDICAIDKENTUCKY
312500989MEDICAIDKENTUCKY
47100281540MEDICAIDKENTUCKY
57100392050MEDICAIDKENTUCKY
6201015150AMEDICAIDINDIANA
765902470MEDICAIDKENTUCKY
87100156180MEDICAIDKENTUCKY
97100173100MEDICAIDKENTUCKY
107100229960MEDICAIDKENTUCKY
117100275730MEDICAIDKENTUCKY
127100315940MEDICAIDKENTUCKY
13300031860MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.