Provider Type Icon

GREEN RIVER AREA DEVELOPMENT DISTRICT NPI 1003033085


NPI Information

NPI: 1003033085
Provider Name: GREEN RIVER AREA DEVELOPMENT DISTRICT

Other Name: GREEN RIVER AREA AGENCY ON AGING

Classification: Supports Brokerage - 251X00000X
Entity Type: Organization
Address:
300 GRADD WAY
OWENSBORO, KY
ZIP 42301
Phone: (270) 926-4433
Get Directions

GREEN RIVER AREA DEVELOPMENT DISTRICT is a supports brokerage in Owensboro, KY. The provider is a provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. GREEN RIVER AREA DEVELOPMENT DISTRICT NPI is 1003033085. The provider is registered as an organization entity type.
The provider Other Name Is Green River Area Agency On Aging.

The provider's business location address is:

300 GRADD WAY
OWENSBORO, KY
ZIP 42301-696
Phone: (270) 926-4433
Fax: (270) 684-0714

The provider's authorized official is Jiten Shah .
The authorized official title is Executive Director and has the following contact phone number (270) 926-4433.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 10/4/2013.


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
1251C00000XDay Training, Developmentally Disabled ServicesKENTUCKYNo
2251B00000XCase ManagementKENTUCKYNo
3251X00000XSupports BrokerageKENTUCKYYes

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
133001371MEDICAIDKENTUCKY
217000720MEDICAIDKENTUCKY
343996032MEDICAIDKENTUCKY

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.