Active NPI
Caretenders of Northern Kentucky, Inc.
- Case Management Agency
- Edgewood, KY
National Provider Identifier
1033215306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CARETENDERS OF NORTHERN KENTUCKY, INC.
- Practice address
- 3037 Dixie Hwy
Suite 215
Edgewood, KY 41017-4310 - Phone
- (859) 578-0022
- Fax
- (859) 441-6380
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Todd Lyles
- Title
- Sr. V.P., Administration
- Phone
- (502) 891-1044
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Home Health Agency | 251E00000X | 150165 | KY |
Addresses
Primary practice location
3037 Dixie Hwy
Suite 215
Edgewood, KY 41017-4310
Mailing address
9510 Ormsby Station Rd
Suite 300
Louisville, KY 40223-4081
Phone (502) 891-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34007591 | Medicaid | KY | |
| 42007591 | Medicaid | KY |
Other names 1
- Caretenders
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1033215306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9510 ORMSBY STATION RD",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234081",
"telephone_number": "502-891-1000",
"fax_number": "502-891-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3037 DIXIE HWY",
"address_2": "SUITE 215",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410174310",
"telephone_number": "859-578-0022",
"fax_number": "859-441-6380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARETENDERS OF NORTHERN KENTUCKY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "LYLES",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "SR. V.P., ADMINISTRATION",
"authorized_official_telephone_number": "502-891-1044",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KY",
"license": "150165",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34007591",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42007591",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Caretenders",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.