RANDALL CRAFT (NPI# 1598201642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598201642 |
Entity Type | Individual |
Full Name | RANDALL CRAFT |
Practice Address |
125 S Main Cross St Suite 202 Louisa KY 41230-1065 |
Mailing Address |
Po Box 726 Louisa KY 41230-0726 |
Practice Telephone | 6066380938 |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326079617 | Randall O Craft | Surgery | 6036 N 19th Ave Ste 501, Phoenix, AZ 85015-2143 | 2006-07-05 |
Street Address |
125 S MAIN CROSS ST SUITE 202 |
City | LOUISA |
State | KY |
Zip Code | 41230-1065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154415594 | Amanda Slone | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2006-10-02 |
1124629282 | Brittany Baker | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-11-05 |
1750981296 | Ashlee Nicole Clemmons | Registered Nurse | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-26 |
1740889526 | Timothy Carter | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-22 |
1447858428 | Nancy Lynn Pelfrey | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-13 |
1104424183 | Carl Eugene Johnson IIi | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-13 |
1497352983 | Aquarius Dion Young | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-07 |
1760089254 | John Kevin Schmidt Jr. | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-07 |
1841897519 | Patrick Michael Fogarty | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-06 |
1942817622 | Seth Patrick Myers | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-09-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
1780236570 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 1640 Jerushia Branch Rd., Booneville, KY 41230 | 2019-07-11 |
1922528272 | Samantha Paige Stanley | Peer Specialist | 221 Windy Hill Drive, Louisa, KY 41230 | 2017-06-27 |
1407393457 | Chandra D Blevins | Peer Specialist | 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 | 2017-01-30 |
1033654876 | Amanda Hurley | Peer Specialist | 125 N. Main Cross Street, Louisa, KY 41230 | 2017-01-04 |
1780127753 | Dakota Williams | Peer Specialist | 125 N Cross Main St, Louisa, KY 41230 | 2016-11-23 |
1568905529 | Tara Runyon | Peer Specialist | 125 N Main Cross Street, Louisa, KY 41230 | 2016-11-23 |
1134575624 | Misty Howell I | Peer Specialist | 125 S. Main Cross Street, Louisa, KY 41230 | 2016-05-13 |
1720404478 | Louisa Dental Care | Dentist | 203 S. Water St, Louisa, KY 41230 | 2014-03-05 |
1326336728 | Elite Chiropractic Psc | Chiropractor | 4347 Highway 2565, Louisa, KY 41230 | 2011-07-19 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
1013569755 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 502 N Lackey Ave, Louisa, KY 41230-1206 | 2019-07-12 |
1104478841 | Odyssey, Inc | Substance Abuse Rehabilitation Facility | 221 Windy Hill Dr, Louisa, KY 41230-6293 | 2019-07-12 |
1306498043 | Odyssey, Inc | Substance Abuse Rehabilitation Facility | 2135 Highway 1185, Louisa, KY 41230-7968 | 2019-07-12 |
1275986424 | Melanda Adams-hacker | Substance Abuse Rehabilitation Facility | 125 S Main Cross St, Louisa, KY 41230-1065 | 2016-07-22 |
1669754248 | Odyssey, Inc | Substance Abuse Rehabilitation Facility | 125 S Main Cross St, Louisa, KY 41230-1065 | 2011-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392841 | Westcare Kentucky Inc | Substance Abuse Rehabilitation Facility | 5971 Poor Bottom Road, Elkhorn City, KY 41522 | 2020-10-02 |
1750996971 | Robert Alexander Center, LLC | Substance Abuse Rehabilitation Facility | 130 Hope St, Mt Washington, KY 40047 | 2020-09-14 |
1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
1962037010 | New Horizons LLC | Substance Abuse Rehabilitation Facility | 308 W Dixie Ave, Elizabethtown, KY 42701-1700 | 2020-03-10 |
1164054284 | Neartown Inc | Substance Abuse Rehabilitation Facility | 1250 Old Soldier Creek Rd, Kirksey, KY 42054-9117 | 2020-02-06 |
1174153514 | Redemption Road Recovery | Substance Abuse Rehabilitation Facility | 4222 Highway 830, Gray, KY 40734-4511 | 2020-01-24 |
1477192607 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 2221 Central Ave, Ashland, KY 41101-7841 | 2020-01-06 |
1386287837 | Kentucky Christian Recovery, LLC | Substance Abuse Rehabilitation Facility | 263 Huntsville Quality Rd Ste A, Morgantown, KY 42261-7395 | 2019-10-28 |
1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
1780236570 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 1640 Jerushia Branch Rd., Booneville, KY 41230 | 2019-07-11 |
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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.