Active NPI
Pennyrile Area Development District
- Case Management Agency
- Hopkinsville, KY
National Provider Identifier
1003284084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PENNYRILE AREA DEVELOPMENT DISTRICT
- Practice address
- 300 Hammond Dr
Hopkinsville, KY 42240-7952 - Phone
- (270) 886-9484
- Fax
- (270) 886-3211
- NPI assigned
- Sep 9, 2015
- Organization subpart
- Yes
- Parent organization
- PENNYRILE AREA DEVELOPMENT DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Vincent
- Title
- Executive Director
- Phone
- (270) 886-9484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
300 Hammond Dr
Hopkinsville, KY 42240-7952
Mailing address
300 Hammond Dr
Hopkinsville, KY 42240-7952
Phone (270) 886-9484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073650644 | Medicaid | KY | |
| 1437296167 | Medicaid | KY | |
| 1982741559 | Medicaid | KY |
Other names 1
- Veterans Directed Care Program
National Provider Directory
National Provider Directory- Part of
- Pennyrile Area Development District
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441756800000",
"number": "1003284084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HAMMOND DR",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422407952",
"telephone_number": "270-886-9484",
"fax_number": "270-886-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HAMMOND DR",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422407952",
"telephone_number": "270-886-9484",
"fax_number": "270-886-3211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNYRILE AREA DEVELOPMENT DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PENNYRILE AREA DEVELOPMENT DISTRICT",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "270-886-9484",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073650644",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437296167",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982741559",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Veterans Directed Care Program",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.