REGIONAL CHILD DEVELOPMENT CLINICS (NPI# 1417036575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417036575 |
Entity Type | Organization |
Organization Name | REGIONAL CHILD DEVELOPMENT CLINICS |
Practice Address |
1600 Scottsville Rd Suite 100 Bowling Green KY 42104-3217 |
Practice Telephone | 2708438284 |
Practice Fax Number | 2708438362 |
Mailing Telephone | 2708438284 |
Mailing Fax Number | 2708438362 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. BETSY MARIE KITCHENS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2708438284 |
Authorized Official Credential | RN,C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | 3209 | KY | Agencies |
N | 251C00000X | Day Training, Developmentally Disabled Services | 1002 | KY | Agencies |
N | 251C00000X | Day Training, Developmentally Disabled Services | 3128 | KY | Agencies |
N | 251C00000X | Day Training, Developmentally Disabled Services | 1044 | KY | Agencies |
Y | 251C00000X | Day Training, Developmentally Disabled Services | 1072556 | KY | Agencies |
Street Address |
1600 SCOTTSVILLE RD SUITE 100 |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-3217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841261914 | Phoenix Rehab Group, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2006-01-27 |
1710435862 | Dr Syed A Khader Pllc | Durable Medical Equipment & Medical Supplies | 1600 Scottsville Rd, Ste 301, Bowling Green, KY 42104-3217 | 2016-09-19 |
1437488111 | Toni D. Sibalich | Physical Therapist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2009-12-09 |
1720220676 | Kelley J Manning | Speech-Language Pathologist | 1600 Scottsville Rd, Suite 300, Bowling Green, KY 42104-3217 | 2009-03-24 |
1306093190 | Rhonda Y. Pryor | Speech-Language Pathologist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2008-08-22 |
1275780413 | Claire K. Klein | Physical Therapist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2008-08-19 |
1518113638 | Jennifer A Simmons | Speech-Language Pathologist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2008-08-08 |
1437332178 | Phoenix Rehab, LLC | Clinic/Center | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2007-12-17 |
1821173543 | Carl L. Myers | Psychologist | 1600 Scottsville Rd, Suite 100, Bowling Green, KY 42104-3217 | 2006-10-25 |
1124039342 | Almira M. Ulat | Physical Therapist | 1600 Scottsville Rd, Suite 101, Bowling Green, KY 42104-3217 | 2006-08-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
Find all providers in zip 42104 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154879062 | Wood Lane Industries | Day Training, Developmentally Disabled Services | 705 W Newton Rd, Bowling Green, OH 43402-9026 | 2016-09-20 |
1417300088 | Ky Steps | Day Training, Developmentally Disabled Services | 2865 Laurelstone Ln, Bowling Green, KY 42104-4784 | 2016-07-19 |
1366898512 | Lucasacare | Day Training, Developmentally Disabled Services | 639 Sherwood Dr, Bowling Green, KY 42103-1417 | 2016-05-06 |
1588029987 | Community Life Connections, LLC | Day Training, Developmentally Disabled Services | 253 Farmer Ln, Bowling Green, KY 42104-8544 | 2015-12-30 |
1881099695 | Royalty Care | Day Training, Developmentally Disabled Services | 3560 Wheatstone Ave Apt D31, Bowling Green, KY 42104-5609 | 2014-10-23 |
1578702908 | Faith Harbor | Day Training, Developmentally Disabled Services | 1512 Richpond Rockfield Rd, Bowling Green, KY 42101-7408 | 2009-02-09 |
1295879922 | Community Alternatives Kentucky, Inc. | Day Training, Developmentally Disabled Services | 980 Morgantown Rd, Bowling Green, KY 42101-3644 | 2007-02-16 |
1164030342 | Dungarvin Kentucky, LLC - Bowling Green | Day Training, Developmentally Disabled Services | 980 Morgantown Rd, Bowling Green, KY 42101-3644 | 2020-07-14 |
1073139382 | Lucasacarebg, LLC | Day Training, Developmentally Disabled Services | 639 Sherwood Dr, Bowling Green, KY 42103-1417 | 2020-06-23 |
1689225823 | Rha Health Services Ky LLC | Day Training, Developmentally Disabled Services | 980 Morgantown Rd, Bowling Green, KY 42101-3644 | 2019-09-27 |
Find all providers in BOWLING GREEN |
City | BOWLING GREEN |
Zip Code | 42104 |
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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.