RESIDENTIAL CARE CENTER OF PADUCAH (NPI# 1376767335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376767335 |
Entity Type | Organization |
Organization Name | RESIDENTIAL CARE CENTER OF PADUCAH |
Practice Address |
2301 Irvin Cobb Dr Paducah KY 42003-6447 |
Practice Telephone | 2704426441 |
Practice Fax Number | 2704420283 |
Mailing Telephone | 2704426441 |
Mailing Fax Number | 2704420283 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RANDALL SHELBY (ADMINISTRATOR) |
Authorized Official Telephone | 2704426441 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
100626 | KY | Nursing & Custodial Care Facilities |
Street Address |
2301 IRVIN COBB DR |
City | PADUCAH |
State | KY |
Zip Code | 42003-6447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
Find all providers in zip 42003 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841691037 | Families Hope, LLC | Custodial Care Facility | 3847 Sugar Creek Dr, Lexington, KY 40517-2034 | 2014-09-08 |
1225374846 | Hammonds House LLC | Custodial Care Facility | 527 Greene Dr, Greenville, KY 42345-1409 | 2012-12-31 |
1316216179 | The Patary, Inc | Custodial Care Facility | 235 S Richardson Dr, Somerset, KY 42501-2033 | 2011-12-23 |
1770865263 | Lp Hodgenville LLC | Custodial Care Facility | 717 N Lincoln Blvd, Hodgenville, KY 42748-1622 | 2011-09-12 |
1114164803 | A Brighter Choice | Custodial Care Facility | 208 Lakeview Dr, Lawrenceburg, KY 40342-1437 | 2009-01-16 |
1487820445 | Venture Home Again, Inc. | Custodial Care Facility | 610 F M Stafford Ave, Paintsville, KY 41240-1230 | 2008-04-30 |
1144492430 | Coons Care, LLC | Custodial Care Facility | 117 Ferguson Ln, Georgetown, KY 40324-1284 | 2008-03-27 |
1639361694 | Planning for Life Inc | Custodial Care Facility | 7806 Stonydale Ln, Louisville, KY 40220-5039 | 2007-08-14 |
1831319987 | Sparks Nursing Center, Inc. | Custodial Care Facility | 500 E Whitmer St, Central City, KY 42330-1197 | 2007-04-30 |
1437379948 | S&r Enterprises Inc. | Custodial Care Facility | 2820 Richard St, Hopkinsville, KY 42240-1670 | 2007-04-26 |
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.