Organization Active NPI

Caretenders of Northern Kentucky, Inc.

  • Case Management Agency
  • Edgewood, KY
National Provider Identifier
1033215306
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Jun 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34007591MedicaidKY
42007591MedicaidKY

Other names 1

  • Caretenders Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.