Organization Active NPI

Marion County Adult Day Health Inc

  • Adult Day Care Clinic/Center
  • Lebanon, KY
National Provider Identifier
1003972639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750125 Issued in KY
Legal business name
MARION COUNTY ADULT DAY HEALTH INC
Practice address
2155 Campbellsville Rd
Lebanon, KY 40033-9476
Phone
(270) 692-3897
Fax
(270) 692-3897
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Pamela Ann Brady, RN
Title
Ownerdirector
Phone
(270) 692-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750125 KY Primary

Addresses

Primary practice location

2155 Campbellsville Rd
Lebanon, KY 40033-9476

Mailing address

2155 Campbellsville Rd
Lebanon, KY 40033-9476
Phone (270) 692-3897

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003972639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CAMPBELLSVILLE RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400339476",
            "telephone_number": "270-692-3897",
            "fax_number": "270-692-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CAMPBELLSVILLE RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400339476",
            "telephone_number": "270-692-3897",
            "fax_number": "270-692-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY ADULT DAY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNERDIRECTOR",
        "authorized_official_telephone_number": "270-692-3897",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.