Annville-Ky Adult Daycare, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ANNVILLE-KY ADULT DAYCARE, LLC

Practice address

78 Highway 3444
Annville, KY 40402-8245

Phone

(606) 346-5162

Fax

(606) 364-3920

NPI assigned

Mar 20, 2018

Last updated

Mar 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla J Johnson

Title

Credentialing/Billing Manager

Phone

(606) 843-6195

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Brooke Hays, MD

  • Family Medicine Physician
  • East Bernstadt, KY
  • NPI 1649709338
  NPD (past)
• Stacy Lynn Turner, APRN FNP-C

  • Family Nurse Practitioner
  • Annville, KY
  • NPI 1053719310
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1033613542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 HIGHWAY 3444",
            "city": "ANNVILLE",
            "state": "KY",
            "postal_code": "404028245",
            "telephone_number": "606-346-5162",
            "fax_number": "606-364-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 HIGHWAY 3444",
            "city": "ANNVILLE",
            "state": "KY",
            "postal_code": "404028245",
            "telephone_number": "606-346-5162",
            "fax_number": "606-364-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNVILLE-KY ADULT DAYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING MANAGER",
        "authorized_official_telephone_number": "606-843-6195"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addiction Recovery Care LLC (Lincoln Oaks)
• Barnabas Home Inc
• Misti Rachelle Bond, OTRL
• Laura Rae Coffey, MPT
• Candie Naomi Dalton, PT
• Dove Medical Equipment, Inc

• Adult Day Care Clinic/Center in Annville, KY
• Providers in Annville, KY by specialty
• Adult Day Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.