Forever Care Dba Independent Opportunities

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FOREVER CARE DBA INDEPENDENT OPPORTUNITIES

Practice address

400 S Main St
Suite 200
London, KY 40741-1909

Phone

(606) 877-9209

Fax

(606) 877-1770

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wayne H. Harvey

Title

Chief Opperations Officer

Phone

(606) 877-9209

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1033275755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5067",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407455067",
            "telephone_number": "606-877-9209",
            "fax_number": "606-877-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411909",
            "telephone_number": "606-877-9209",
            "fax_number": "606-877-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER CARE DBA INDEPENDENT OPPORTUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHIEF OPPERATIONS OFFICER",
        "authorized_official_telephone_number": "606-877-9209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100008760",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33900788",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100035380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fast Pace Kentucky, PLLC (Fast Pace Health)
• Brooke Feltner, PHARM.D.
• Fields Fortress LLC (Fortress Health)
• Tommie Lee Fields, APRN
• Erin Taylor Fischer
• Allison Deshon Fowler, PT, DPT
• Natalie Nicole France, APRN
• Adam Kimball Franson, D.O.
• Friends and Companions, LLC
• Sarah Fugate

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in London, KY
• Providers in London, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.

Verify at the official NPI Registry.