HOME OF THE INNOCENTS INC. NPI 1477861888

NPI Information

NPI: 1477861888
Provider Name: HOME OF THE INNOCENTS, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 18D0966965

Address:
1050 E MARKET ST
LOUISVILLE, KY
ZIP 40206
Phone: (502) 596-1090
Get Directions

HOME OF THE INNOCENTS, INC. is a dental clinic center in Louisville, KY. HOME OF THE INNOCENTS, INC. NPI is 1477861888. The provider is registered as an organization entity type.

The provider's business location address is:

1050 E MARKET ST
LOUISVILLE, KY
ZIP 40206-874
Phone: (502) 596-1090
Fax: (502) 596-1410

The provider's authorized official is Candice Dick .
The authorized official title is Credentialing Specialist and has the following contact phone number (502) 596-1245.

The CLIA number assigned to this NPI record is 18D0966965 - skilled nursing facility/nursing facility with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/20/2010 and was last updated on 1/4/2021.

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
1	261QM2500X	Clinic/Center	Medical Specialty	740143	KENTUCKY	No
2	261QD0000X	Clinic/Center	Dental	740143	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7100126000	MEDICAID	KENTUCKY
2	29201183	MEDICAID	KENTUCKY
3	12500989	MEDICAID	KENTUCKY
4	29101185	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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