PERSONAL CARE AGENCY NPI 1104510502

NPI Information

  • NPI: 1104510502
  • Provider Name: PERSONAL CARE AGENCY
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 2305 GRAND AVE
    LOUISVILLE, KY
    ZIP 40210
  • Phone: (502) 777-9201

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NPI Details

PERSONAL CARE AGENCY is an assisted living and mental illness assisted living facility in Louisville, KY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. PERSONAL CARE AGENCY NPI is 1104510502. The provider is registered as an organization entity type.

The provider's business location address is:

2305 GRAND AVE
LOUISVILLE, KY
ZIP 40210-145
Phone: (502) 777-9201

The provider's authorized official is Shavonda Hill .
The authorized official title is Owner and has the following contact phone number (502) 416-2988.

The enumeration date for this NPI number is 6/7/2023 and was last updated on 6/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)No
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 3/30/2025

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