OLIVIA CARES FOR KENTUCKY (NPI# 1376616128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376616128 |
| Entity Type | Organization |
| Organization Name | OLIVIA CARES FOR KENTUCKY |
| Practice Address |
108 Avawan Dr Richmond KY 40475 |
| Practice Telephone | 8596249163 |
| Practice Fax Number | 8596249163 |
| Mailing Telephone | 8596249163 |
| Mailing Fax Number | 8596249163 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN HANNON RAKESTRAW (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8596249163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
108 AVAWAN DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1831758507 | Rives Residential Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4230 Fayette Cir, Richmond, VA 23222-1323 | 2019-06-06 |
| 1245898915 | Avid Home Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8626 Kingston Hollow Ct, Richmond, TX 77407-1205 | 2019-05-29 |
| 1184182925 | Safe Lite Care Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5415 Carta Valley Ln, Richmond, TX 77469-6086 | 2019-03-12 |
| 1245700921 | Faderah Logistic | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21226 Barton Hollow Ln, Richmond, TX 77407-6418 | 2018-11-26 |
| 1730678723 | Affection Caring Angels LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20014 Benton Springs Ln, Richmond, TX 77407-2670 | 2018-05-04 |
| 1093220378 | Abaco Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6103 Meadow Bluff Ct, Richmond, TX 77407-4516 | 2017-12-07 |
| 1518484328 | Aga House of Faith LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9423 Bristle Bird Ln, Richmond, TX 77407-2048 | 2017-08-23 |
| 1477073625 | Riggins Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 103 Luray Dr, Richmond, VA 23227-2046 | 2017-06-20 |
| 1881122141 | Aaboh Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19314 Mission Cove Ln, Richmond, TX 77407-2558 | 2017-05-31 |
| Find all providers in RICHMOND | ||||
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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.