THE PRINCECARE GROUP NPI 1831316595

NPI Information

NPI: 1831316595
Provider Name: THE PRINCECARE GROUP
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1520 BAXTER AVE
LOUISVILLE, KY
ZIP 40205
Phone: (502) 896-8147
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THE PRINCECARE GROUP is a community based residential treatment facility, intellectual and/or developmental disabilities in Louisville, KY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. THE PRINCECARE GROUP NPI is 1831316595. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1520 BAXTER AVE
LOUISVILLE, KY
ZIP 40205
Phone: (502) 896-8147
Fax: (502) 896-8149

The provider's authorized official is Jim Dewayne Hisle .
The authorized official title is President and has the following contact phone number (502) 428-9037.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 7/12/2018.

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	235Z00000X	Speech-Language Pathologist				No
2	251C00000X	Day Training, Developmentally Disabled Services				No
3	261Q00000X	Clinic/Center				No
4	225100000X	Physical Therapist				No
5	225X00000X	Occupational Therapist				No
6	261QR0400X	Clinic/Center	Rehabilitation		KENTUCKY	No
7	261QA0600X	Clinic/Center	Adult Day Care	7100233390	KENTUCKY	No
8	261QD1600X	Clinic/Center	Developmental Disabilities			No
9	261QP2000X	Clinic/Center	Physical Therapy	7100199960	KENTUCKY	No
10	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		7100010990	KENTUCKY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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