NORTHERN KENTUCKY CONSUMER DIRECTED OPTION PROGRAM (NPI# 1093982795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093982795 |
| Entity Type | Organization |
| Organization Name | NORTHERN KENTUCKY CONSUMER DIRECTED OPTION PROGRAM |
| Practice Address |
22 Spiral Dr Florence KY 41042-1300 |
| Practice Telephone | 8592831885 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | MR. LARRY BOSLEY (FINANCE OFFICER) |
| Authorized Official Telephone | 8592831885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 17000787 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285801985 | Northern Kentucky Consumer Directed Option Program | Supports Brokerage | 22 Spiral Dr, Florence, KY 41042-1300 | 2008-05-12 |
| Street Address |
22 SPIRAL DR |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104958370 | Northern Kentucky Consumer Directed Options Program | Supports Brokerage | 22 Spiral Dr, Florence, KY 41042-1300 | 2007-03-12 |
| 1285801985 | Northern Kentucky Consumer Directed Option Program | Supports Brokerage | 22 Spiral Dr, Florence, KY 41042-1300 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104958370 | Northern Kentucky Consumer Directed Options Program | Supports Brokerage | 22 Spiral Dr, Florence, KY 41042-1300 | 2007-03-12 |
| 1285801985 | Northern Kentucky Consumer Directed Option Program | Supports Brokerage | 22 Spiral Dr, Florence, KY 41042-1300 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780185181 | Lake Cumberland Veterans Directed Services | Supports Brokerage | 2384 Lakeway Dr, Russell Springs, KY 42642-4509 | 2018-02-22 |
| 1265610828 | Buckhorn Lake Area Support Team, Inc | Supports Brokerage | 5053 N Ky Highway 15, Bonnyman, KY 41719-8972 | 2008-02-06 |
| 1831391853 | Mending Hearts | Supports Brokerage | 95 Fields Clf, Whitesburg, KY 41858-7338 | 2007-06-01 |
| 1275745176 | Fivco Add Cdo As Fiscal Agent | Supports Brokerage | 1212 Bath Ave., Suite 650, Ashland, KY 41101 | 2007-05-04 |
| 1912023227 | Bluegrass Area Development District | Supports Brokerage | 699 Perimeter Dr, Lexington, KY 40517-4287 | 2007-03-21 |
| 1629109491 | Cumberland Valley Area Agency On Aging | Supports Brokerage | 342 Old Whitley Rd, London, KY 40744-8212 | 2007-03-07 |
| 1770611683 | Kentuckiana Regional Planning and Development Agency | Supports Brokerage | 11520 Commonwealth Dr, Louisville, KY 40299-2340 | 2007-03-01 |
| 1316082407 | Department for Aging and Independent Living | Supports Brokerage | 275 East Main 3wf, Frankfort, KY 40621 | 2007-02-20 |
| 1972646073 | Buffalo Trace Area Development District | Supports Brokerage | 201 Government St, Suite 300, Maysville, KY 41056-1260 | 2007-02-15 |
| 1609917079 | Big Sandy Area Agency On Aging | Supports Brokerage | 110 Resource Ct, Prestonsburg, KY 41653-7851 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.