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LOUISVILLE INDEPENDENT CASE MANAGEMENT LLC NPI 1689727224


NPI Information

NPI: 1689727224
Provider Name: LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
8919 STONE GREEN WAY
LOUISVILLE, KY
ZIP 40220
Phone: (502) 452-9089
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LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Louisville, KY. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC NPI is 1689727224. The provider is registered as an organization entity type.

The provider's business location address is:

8919 STONE GREEN WAY
LOUISVILLE, KY
ZIP 40220-073
Phone: (502) 452-9089
Fax: (502) 495-7840

The provider's authorized official is Amy Warner Newkirk .
The authorized official title is Executive Director and has the following contact phone number (502) 452-9089.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/23/2010.


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
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
117000316MEDICAIDKENTUCKY
233000589MEDICAIDKENTUCKY

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

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