RESIDENTIAL CARE CENTER OF PADUCAH


Address: 2301 Irvin Cobb Dr, Paducah, KY 42003-6447
Phone: 2704426441

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2301 IRVIN COBB DR
City PADUCAH
State KY
Zip Code 42003-6447

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City PADUCAH
Zip Code 42003

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Dataset Information

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.

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