PRIMETIME INTERVENTION (NPI# 1205284924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205284924 |
| Entity Type | Organization |
| Organization Name | PRIMETIME INTERVENTION |
| Practice Address |
20 Royal Melbourne Ln Jenkins KY 41537-7512 |
| Practice Telephone | 6066341471 |
| Practice Fax Number | 6068320397 |
| Mailing Telephone | 6066341471 |
| Mailing Fax Number | 6068320397 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | MRS. MELENA OUTLAW (OWNER) |
| Authorized Official Telephone | 6066341471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
20 ROYAL MELBOURNE LN |
| City | JENKINS |
| State | KY |
| Zip Code | 41537-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912299199 | Melissa Ann Fleming | Speech-Language Pathologist | 180 Payne Gap Dr, Jenkins, KY 41537 | 2011-05-06 |
| 1538450093 | John Sherman Holyfield IIi | Pharmacist | 31 Brick St., Jenkins, KY 41537 | 2011-05-02 |
| 1033400429 | Kassi Jessee | Pharmacist | 9485 Hwy 805, Jenkins, KY 41537 | 2011-04-20 |
| 1528377231 | Donna Branham | Technician, Other | 1094 Childs Branch Rd, Jenkins, KY 41537 | 2010-09-29 |
| 1821233750 | William M Collins | Family Medicine | 157 Dorton-jenkins Hwy, Jenkins, KY 41537 | 2008-12-05 |
| 1275711871 | Kentucky River District Health Department | Public Health or Welfare | 269 Hwy 3086, Jenkins, KY 41537 | 2008-02-06 |
| 1811181266 | Kentucky River District Health Department | Public Health or Welfare | 571 Dairy Hollow Road, Jenkins, KY 41537 | 2007-08-29 |
| 1346452877 | Mandy Charlene Stamper | Contractor | 7112 Hwy 119 North, Jenkins, KY 41537 | 2007-05-04 |
| 1346361193 | Letcher County Golden Years Rest Home | Nursing Facility/Intermediate Care Facility | 53 Wheaton Hollow Road, Jenkins, KY 41537 | 2007-04-02 |
| 1790863710 | Boggs Pharmacy,inc. | Durable Medical Equipment & Medical Supplies | 9500 Highway 805, Jenkins, KY 41537 | 2006-11-01 |
| Find all providers in zip 41537 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346452877 | Mandy Charlene Stamper | Contractor | 7112 Hwy 119 North, Jenkins, KY 41537 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448248 | Claire Elizabeth Hale | Contractor | 3065 Ledgebrook Ct # 203, Louisville, KY 40241-6530 | 2020-08-20 |
| 1083236756 | Tamara Michele Prescott | Contractor | 4611 N Dixie Hwy Ste 100, Elizabethtown, KY 42701-8828 | 2020-05-15 |
| 1376108431 | Shafi Abbas | Contractor | 604 Crystal Pl Ste 1, La Grange, KY 40031-1297 | 2019-05-04 |
| 1912423328 | Sandra Pace | Contractor | 363 W Lincoln Trail Blvd, Radcliff, KY 40160-3302 | 2017-08-17 |
| 1801323688 | Comprehensive Healthcare Solutions LLC | Contractor | 12409 Wynmeade Pl, Louisville, KY 40223-1630 | 2017-05-11 |
| 1669820882 | Stacy Spiller | Contractor | 721 National Ave, Lexington, KY 40502-1431 | 2016-05-27 |
| 1982066999 | Sandra Baldridge | Contractor | 776 Maidencane Dr, Lexington, KY 40509-9049 | 2016-03-28 |
| 1942683784 | Rachael Faye Lane | Contractor | 112 Fieldstone Way, Winchester, KY 40391-9265 | 2015-06-29 |
| 1639550908 | Ralph Kincaid | Contractor | 133 Adams Ln, Richmond, KY 40475-8765 | 2015-06-12 |
| 1306234034 | Cheryl Tarhi | Contractor | 524 Talbott Blvd, La Grange, KY 40031-8219 | 2015-01-05 |
| 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.