Provider Type Icon

ASSUREDLINK CASE MANAGEMENT AGENCY NPI 1205267671


NPI Information

NPI: 1205267671
Provider Name: ASSUREDLINK CASE MANAGEMENT AGENCY
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
1990 LOUISVILLE RD
101
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 599-0212
Get Directions

ASSUREDLINK CASE MANAGEMENT AGENCY is a private vehicle in Bowling Green, KY. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. ASSUREDLINK CASE MANAGEMENT AGENCY NPI is 1205267671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1990 LOUISVILLE RD
101
BOWLING GREEN, KY
ZIP 42101-202
Phone: (270) 599-0212

The provider's authorized official is Demetrius Depp King .
The authorized official title is Owner/ Executive Director and has the following contact phone number (270) 303-4669.

The enumeration date for this NPI number is 12/10/2013 and was last updated on 3/3/2017.


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
1101YP2500XCounselorProfessional171431KENTUCKYNo
2251B00000XCase Management7100347620KENTUCKYNo
3347C00000XPrivate VehicleK12245600KENTUCKYYes

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
17100224880MEDICAIDKENTUCKY
27100438780MEDICAIDKENTUCKY
37100347620MEDICAIDKENTUCKY

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.