UNIVERSITY PEDIATRICS FOUNDATION, INC. (NPI# 1376716688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376716688 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PEDIATRICS FOUNDATION, INC. |
| Other Organization Name | UNIVERSITY CHILD HEALTH SPECIALISTS, INC. |
| Practice Address |
1015 Dorsey Ln Louisville KY 40223-2612 |
| Mailing Address |
Po Box 2469 Louisville KY 40201-2469 |
| Practice Telephone | 5028528500 |
| Practice Fax Number | 5028528556 |
| Mailing Telephone | 5028528500 |
| Mailing Fax Number | 5028528556 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. GERARD P. RABALAIS (CHAIRMAN) |
| Authorized Official Telephone | 5028528600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65908238 | 05 |
| Other Name | Type Code |
|---|---|
| University Child Health Specialists, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295092963 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 215 Central Ave, Ste. 205, Louisville, KY 40208-1449 | 2012-04-18 |
| 1518235704 | University Pediatrics Foundation, Inc. | Pediatrics | 210 E Gray St, Ste. 802, Louisville, KY 40202-3900 | 2011-12-02 |
| 1073821005 | University Pediatrics Foundation, Inc. | Pediatrics | 530 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2010-09-24 |
| 1083929871 | University Pediatrics Foundation, Inc. | Pediatrics | 9700 Park Plaza Ave, Ste 110, Louisville, KY 40241-2236 | 2010-08-17 |
| 1033436282 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 9800 Shelbyville Rd, Louisville, KY 40223-2977 | 2010-04-28 |
| 1629200076 | University Pediatrics Foundation, Inc. | Pediatrics | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2009-08-19 |
| 1548499700 | University Pediatrics Foundation, Inc. | Pediatrics | 571 S Floyd St, Louisville, KY 40202-3818 | 2009-07-09 |
| 1841426517 | University Pediatrics Foundation, Inc. | Internal Medicine | 601 S Floyd St, Suite 805, Louisville, KY 40202-1845 | 2009-06-08 |
| 1255598173 | University Pediatrics Foundation, Inc. | Pediatrics | 210 E Gray St, Suite 1000, Louisville, KY 40202-3906 | 2008-05-19 |
| 1215100375 | University Pediatrics Foundation, Inc. | Pediatrics | 230 E Broadway, Louisville, KY 40202-2008 | 2008-04-10 |
| Street Address |
1015 DORSEY LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649936 | Lisa Purdy | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2020-01-29 |
| 1932671732 | Nolon Dant | Counselor | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-12-19 |
| 1104300342 | Tiffany Farris | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-09-24 |
| 1326520537 | Karri Lynn Gerdemann | Counselor | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-09-04 |
| 1225527120 | Kasey Wellinghurst | Occupational Therapist | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-05-07 |
| 1669961009 | Alexis Mudd | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-05-01 |
| 1134629520 | Shannon Carty-janis | Behavioral Analyst | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-02-13 |
| 1093269367 | Brandi Lawson | Counselor | 1015 Dorsey Ln, Louisville, KY 40223 | 2016-08-04 |
| 1598116808 | Madalyn Brooke Schreiner | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2016-06-28 |
| 1508231762 | Steven Ochs | Counselor | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2015-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811012289 | The Episcopal Church Home, Inc. | Custodial Care Facility | 7504 Westport Road, Louisville, KY 40222 | 2007-03-21 |
| 1912033879 | Alternative Services for Individuals | Custodial Care Facility | 3924 Bardstown Rd, Louisville, KY 40218-2610 | 2007-02-26 |
| 1942768783 | Alternative Services for Individuals LLC | Custodial Care Facility | 3924 Bardstown Rd, Louisville, KY 40218-2610 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528518214 | Kat Care L.L.C. | Custodial Care Facility | 310 E Main St Unit B, Richmond, KY 40475-1867 | 2016-10-06 |
| 1659673655 | Modern Care LLC | Custodial Care Facility | 104 Nancy Cox Dr, Suite D, Campbellsville, KY 42718-6834 | 2010-11-23 |
| 1386875656 | Parkside Manor LLC | Custodial Care Facility | 317 Oddville Avenue, Suite B, Cynthiana, KY 41031 | 2009-08-04 |
| 1467683730 | Shady Lawn LLC | Custodial Care Facility | 108 South Miller Street, Cynthianan, KY 41031 | 2009-08-04 |
| 1518138502 | Pennyrile Homes | Custodial Care Facility | 502 Noel Ave, Hopkinsville, KY 42240-1361 | 2008-03-18 |
| 1881865863 | Gainesville Manor | Custodial Care Facility | 550 Moores Dr, Hopkinsville, KY 42240 | 2008-03-18 |
| 1750507547 | Lewis Memorial, Inc | Custodial Care Facility | 2905 Bowling Green Rd, Franklin, KY 42134-9607 | 2007-04-18 |
| 1942310982 | Covington's Convalescent Center, Inc. | Custodial Care Facility | 115 Cayce St, Hopkinsville, KY 42240-3019 | 2006-08-30 |
| 1518954486 | Carmel Manor Inc. | Custodial Care Facility | 100 Carmel Manor Road, Ft. Thomas, KY 41075-2395 | 2005-10-05 |
| 1821081555 | St Charles Care Center Inc | Custodial Care Facility | 600 Farrell Dr, Covington, KY 41011-5126 | 2005-08-29 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
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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.