MATTINGLY CENTER, INC (NPI# 1720199268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720199268 |
| Entity Type | Organization |
| Organization Name | MATTINGLY CENTER, INC |
| Other Organization Name | CEREBRAL PALSY SCHOOL OF LOUISVILLE, INC |
| Practice Address |
1520 Baxter Ave Louisville KY 40205-1009 |
| Practice Telephone | 5024516200 |
| Practice Fax Number | 5024516861 |
| Mailing Telephone | 5024516200 |
| Mailing Fax Number | 5024516861 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-23 |
| Authorized Official Name | BARBARA Q HENCHEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5024516200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | 750034 | KY | Agencies |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
750034 | KY | Ambulatory Health Care Facilities |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
750034 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100060340 | 05 | |
| KY | 33300260 | 05 | |
| KY | 43003565 | 05 |
| Other Name | Type Code |
|---|---|
| Cerebral Palsy School of Louisville, Inc | Former Legal Business Name - Organization |
| Street Address |
1520 BAXTER AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209043 | Kevin Swartz | Physical Therapist | 1520 Baxter Ave, Louisville, KY 40205-1096 | 2019-11-08 |
| 1295183077 | Aimee Lynn Burton | Speech-Language Pathologist | 1520 Baxter Ave, Louisville, KY 40205-1009 | 2016-06-02 |
| 1629447545 | Christie Underwood | Physical Therapist | 1520 Baxter Ave, Louisville, KY 40205-1009 | 2015-09-22 |
| 1831568864 | Lauren Hillary Lee | Speech-Language Pathologist | 1520 Baxter Ave, Louisville, KY 40205-1009 | 2015-09-21 |
| 1306215330 | Jessica Thelen | Speech-Language Pathologist | 1520 Baxter Ave, Louisville, KY 40205-1009 | 2015-09-21 |
| 1356710354 | Claudia Marie K. Cunningham | Occupational Therapist | 1520 Baxter Ave, Louisville, KY 40205-1009 | 2015-09-20 |
| 1558753681 | Tirzah Raible | Speech-Language Pathologist | 1520 Baxter Ave, Louisville, KY 40205-1096 | 2015-02-26 |
| 1154711323 | Marci Fawver | Speech-Language Pathologist | 1520 Baxter Ave, Louisville, KY 40205-1096 | 2015-01-27 |
| 1467605055 | Natalie R. Cottongim | Occupational Therapist | 1520 Baxter Ave, Louisville, KY 40205-1096 | 2008-10-28 |
| 1831316595 | The Princecare Group | Speech-Language Pathologist | 1520 Baxter Ave, Louisville, KY 40205 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974646 | Buena Vida Adhc, LLC | Clinic/Center | 4620 Preston Hwy, Louisville, KY 40213-2146 | 2020-02-15 |
| 1760037188 | Be Positive | Clinic/Center | 4511 Bardstown Rd Ste 1017, Louisville, KY 40218-4001 | 2019-08-02 |
| 1477039683 | American Health Management, Inc. | Clinic/Center | 960 S 4th St, Louisville, KY 40203-3252 | 2018-07-11 |
| 1497188031 | Rk, Adc, LLC | Clinic/Center | 4940 Hazelwood Ave Ste 102, Louisville, KY 40214-1270 | 2013-08-19 |
| 1740488808 | Fern Creek Highview United Ministries | Clinic/Center | 7502 Tangelo Drive, Louisville, KY 40228-3002 | 2007-07-10 |
| 1851430367 | Active Day Ky, Inc. | Clinic/Center | 1920 Goldsmith Ln, Suite 100, Louisville, KY 40218-2073 | 2007-02-05 |
| 1114072451 | Guardiacare | Clinic/Center | 215 W Breckinridge St, Louisville, KY 40203-2219 | 2007-01-25 |
| 1720133200 | Elderclub Adc Elderserve Inc. | Clinic/Center | 631 S 28th St, Louisville, KY 40211-1369 | 2007-01-24 |
| 1912054602 | Ymca of Greater Louisville | Clinic/Center | 2800 Fordhaven Rd, Louisville, KY 40214-3960 | 2007-01-04 |
| 1063579233 | Highlands Community Ministries Senior Services Adult Day Health Cent | Clinic/Center | 2000 Douglass Blvd, Louisville, KY 40205-1928 | 2007-01-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
Please comment or provide details below to improve the information on MATTINGLY CENTER, INC.
| 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.