FAMILY CARE PROFESSIONAL LIMITED LIABILITY COMPANY (NPI# 1932611019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932611019 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE PROFESSIONAL LIMITED LIABILITY COMPANY |
| Other Organization Name | FAMILY CLINIC |
| Practice Address |
3190 Irvine Rd. Richmond KY 40475-4047 |
| Mailing Address |
4864 Bud Ln Lexington KY 40514-1416 |
| Practice Telephone | 8593690070 |
| Practice Fax Number | 8593690073 |
| Mailing Telephone | 8593588533 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | JERYL LYNN PITTMAN (MEMBER/OWNER) |
| Authorized Official Telephone | 8598933588 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FAMILY CLINIC | Doing Business As Name - Organization |
| Street Address |
3190 IRVINE RD. |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1497245500 | Alliance Physician Services Pllc | Clinic/Center | 4004 Harcourt Ln, Richmond, VA 23233-1776 | 2018-05-14 |
| 1619475449 | Huberte Kouensoh | Clinic/Center | 5603 Gemstone Park Rd, Richmond, TX 77407-4165 | 2018-01-26 |
| 1770993933 | Epic Family Care, Pllc | Clinic/Center | 7417 West Grand Parkway South, Suite 500, Richmond, TX 77406 | 2014-04-28 |
| 1720389430 | Madison County Clinic | Clinic/Center | 946 Commercial Dr, Unit 3, Richmond, KY 40475-3431 | 2010-11-11 |
| 1265750616 | Michelle Latham | Clinic/Center | 8210 Whistler Rd, Richmond, VA 23227-1527 | 2010-05-10 |
| 1255515474 | Matthew C. Lee | Clinic/Center | 1617 Monument Ave, Suite 302, Richmond, VA 23220-2943 | 2007-12-24 |
| 1457489700 | Anil Harrison M.d. Psc | Clinic/Center | 1054 Center Dr Ste 2, Richmond, KY 40475-3851 | 2007-03-01 |
| 1871100438 | Advanced Healthcare Practice LLC | Clinic/Center | 7422 Shady Lake Grv, Richmond, TX 77407-3181 | 2020-09-28 |
| 1124532239 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 204, Richmond, VA 23233 | 2017-11-28 |
| Find all providers in RICHMOND | ||||
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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.