IRVINE OPERATING COMPANY LLC (NPI# 1205302031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205302031 |
| Entity Type | Organization |
| Organization Name | IRVINE OPERATING COMPANY LLC |
| Practice Address |
411 Bertha Wallace Dr Irvine KY 40336-9418 |
| Practice Telephone | 6067235153 |
| Practice Fax Number | 6067237765 |
| Mailing Telephone | 6067235153 |
| Mailing Fax Number | 6067237765 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | MOSHE KELMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 9176131662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE | 750149 | 01 |
| Other Name | Type Code |
|---|---|
| Irvine Adult Day Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598240897 | Irvine Operating Company LLC | Skilled Nursing Facility | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2018-10-02 |
| Street Address |
411 BERTHA WALLACE DR |
| City | IRVINE |
| State | KY |
| Zip Code | 40336-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720150154 | Extendicare Homes, Inc. | Skilled Nursing Facility | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2006-11-14 |
| 1598240897 | Irvine Operating Company LLC | Skilled Nursing Facility | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2018-10-02 |
| 1386905966 | Irvine Health Facilities Lp | Respite Care | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2012-05-31 |
| 1265792634 | Irvine Health Facilities Lp | Skilled Nursing Facility | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2012-05-20 |
| 1558685784 | Rebecca Miller | Physical Therapy Assistant | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2010-03-17 |
| 1275857401 | Bryan Miller | Physical Therapist | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2010-03-17 |
| 1609190834 | Kristen Reynolds | Occupational Therapist | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2010-03-17 |
| 1902003239 | Kimberley B Hubbs | Occupational Therapist | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2007-06-29 |
| 1942407176 | Rita Faye Collins | Occupational Therapist | 411 Bertha Wallace Dr, Irvine Health & Rehab. Center, Irvine, KY 40336-9418 | 2007-06-29 |
| 1952508343 | Josophia Deaton Harl | Occupational Therapist | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1790076156 | Jan Andrea Brandenburg | Pharmacist | 110 Richmond Road, Irvine, KY 40336 | 2011-04-20 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
| 1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
| 1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
| 1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| Find all providers in zip 40336 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386905966 | Irvine Health Facilities Lp | Respite Care | 411 Bertha Wallace Dr, Irvine, KY 40336-9418 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412638 | Shantel Leigh Jones | Respite Care | 2256 Spurr Rd, Lexington, KY 40511-9124 | 2020-09-18 |
| 1881101673 | Brian Carl, LLC | Respite Care | 11603 Shelbyville Rd Ste 10, Louisville, KY 40243-1371 | 2018-01-03 |
| 1154835510 | Honora Home Services, LLC | Respite Care | 3070 Harrodsburg Rd Ste 240, Lexington, KY 40503-2790 | 2017-11-21 |
| 1982123212 | Spectre & Queen | Respite Care | 326 S Court St, Grayson, KY 41143-1269 | 2017-09-19 |
| 1083132708 | Abbey Hill Group | Respite Care | 13101 Magisterial Dr Ste 102, Louisville, KY 40223-5138 | 2017-09-01 |
| 1851833222 | Cassandr Kidwell | Respite Care | 2945 Gardnersville Rd, Crittenden, KY 41030-8244 | 2016-11-16 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1609025352 | Fern Creek Highview United Ministries, Inc. | Respite Care | 9300 Beulah Church Rd, Louisville, KY 40291-2708 | 2008-09-17 |
| 1942476577 | Heartland Medical Supplies | Respite Care | 41 Railroad Cir, Bonnieville, KY 42713-8467 | 2008-05-04 |
| 1821276338 | Blue Grass Community Action Partnership, Inc | Respite Care | Mercer County Adult Day Care, 1475 Louisville Road, Harrodsburg, KY 40330 | 2008-02-06 |
| 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.