MODERN CARE LLC (NPI# 1659673655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659673655 |
| Entity Type | Organization |
| Organization Name | MODERN CARE LLC |
| Practice Address |
104 Nancy Cox Dr Suite D Campbellsville KY 42718-6834 |
| Practice Telephone | 2704658508 |
| Practice Fax Number | 2704658504 |
| Mailing Telephone | 2704658508 |
| Mailing Fax Number | 2704658504 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | MS. TRINA R SANDUSKY (MEMBER) |
| Authorized Official Telephone | 5025238044 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100144580 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922527522 | Modern Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Nancy Cox Dr Ste D, Campbellsville, KY 42718-6835 | 2017-09-14 |
| 1790395507 | Modern Care LLC | In Home Supportive Care | 860 S. Hwy 89/91, Logan, UT 84321-5919 | 2020-08-06 |
| Street Address |
104 NANCY COX DR SUITE D |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-6834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| 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 | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.