MATTINGLY CENTER INC NPI 1720199268

NPI Information

NPI: 1720199268
Provider Name: MATTINGLY CENTER, INC

Former Legal Business Name: CEREBRAL PALSY SCHOOL OF LOUISVILLE, INC

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1520 BAXTER AVE
LOUISVILLE, KY
ZIP 40205
Phone: (502) 451-6200
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MATTINGLY CENTER, INC is an adult day care clinic center in Louisville, KY. MATTINGLY CENTER, INC NPI is 1720199268. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cerebral Palsy School Of Louisville, Inc.

The provider's business location address is:

1520 BAXTER AVE
LOUISVILLE, KY
ZIP 40205-009
Phone: (502) 451-6200
Fax: (502) 451-6861

The provider's authorized official is Barbara Q Henchey .
The authorized official title is Executive Director and has the following contact phone number (502) 451-6200.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/23/2009.

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	251C00000X	Day Training, Developmentally Disabled Services		750034	KENTUCKY	No
2	261QH0100X	Clinic/Center	Health Service	750034	KENTUCKY	No
3	261QA0600X	Clinic/Center	Adult Day Care	750034	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	7100060340	MEDICAID	KENTUCKY
2	33300260	MEDICAID	KENTUCKY
3	43003565	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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