VICTORIA'S DREAM, LLC (NPI# 1689050916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689050916 |
| Entity Type | Organization |
| Organization Name | VICTORIA'S DREAM, LLC |
| Practice Address |
8345 Bloomfield Rd Bloomfield KY 40008-7000 |
| Practice Telephone | 5025072925 |
| Mailing Telephone | 5025072925 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | MR. JON MICHAEL MCMURPHY (CHIEF OPERATION OFFICER) |
| Authorized Official Telephone | 5025072925 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
8345 BLOOMFIELD RD |
| City | BLOOMFIELD |
| State | KY |
| Zip Code | 40008-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720130024 | Lori A Haines | Dentist | 112 Fairfield Hill, Bloomfield, KY 40008 | 2007-01-17 |
| 1598714065 | Fredericka Creech Lockett | Internal Medicine | 107 Perry St, Bloomfield, KY 40008 | 2006-05-10 |
| 1821090341 | Snider Drugs Inc | Durable Medical Equipment & Medical Supplies | 101 Taylorsville Rd, Bloomfield, KY 40008 | 2005-08-15 |
| 1235295296 | Robert D. Hendren & Fredericka C. Lockett Ptr | Family Medicine | 107 Perry St, Bloomfield, KY 40008 | 2006-12-27 |
| 1346261013 | Jessica B Ice | Physician Assistant | 107 Perry St, Bloomfield, KY 40008 | 2006-07-21 |
| 1942259445 | Robert Dawson Hendren | Family Medicine | 107 Perry St, Bloomfield, KY 40008 | 2006-05-10 |
| 1265752638 | Sara R Rogers | Dentist | 112 Fairfield Hill Road, Bloomfield, KY 40008-0484 | 2010-06-08 |
| 1215910906 | John Y. Barbee Jr. | Neuromusculoskeletal Medicine & OMM | 7520 Highgrove Road, Bloomfield, KY 40008-0507 | 2005-11-28 |
| 1952712465 | Claywell, Inc | Pharmacy | 114 Fairfield Hl, Bloomfield, KY 40008-6127 | 2014-05-19 |
| 1215345186 | Ashley Calvert | Pharmacist | 114 Fairfield Hl, Bloomfield, KY 40008-6127 | 2014-07-23 |
| Find all providers in zip 40008 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174958474 | Heavenly Angel Wings Retirement Home | Residential Treatment Facility, Physical Disabilities | 8404 Knifley Rd, Columbia, KY 42728-7505 | 2013-09-05 |
| 1871841114 | Premier Therapy Care | Residential Treatment Facility, Physical Disabilities | 330 Eastern Byp, Suite 145, Richmond, KY 40475-2562 | 2012-08-16 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1154341923 | Masonic Homes of Kentucky Inc | Residential Treatment Facility, Physical Disabilities | 240 Masonic Home Dr, Masonic Home, KY 40041-9000 | 2006-07-21 |
| 1497256770 | New Vista Behavioral Healthcare Inc. | Residential Treatment Facility, Physical Disabilities | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2018-02-22 |
| 1366810434 | Rehabcare Group East Inc. | Residential Treatment Facility, Physical Disabilities | 680 S 4th St, Louisville, KY 40202-2407 | 2015-09-08 |
| 1962776443 | Sundance Rehabilitation | Residential Treatment Facility, Physical Disabilities | 7300 Woodspoint Drive, Florence, KY 41042 | 2012-03-01 |
| 1619013901 | Eldridge-keelin Chiropractic Pllc | Residential Treatment Facility, Physical Disabilities | 1320 Wolohan Dr, Ashland, KY 41102-8940 | 2007-01-30 |
| City | BLOOMFIELD |
| Zip Code | 40008 |
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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.