Organization Active NPI

Highlands Community Ministries Senior Services Adult Day Health Cent

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1063579233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750003 Issued in KY
Legal business name
HIGHLANDS COMMUNITY MINISTRIES SENIOR SERVICES ADULT DAY HEALTH CENT
Practice address
2000 Douglass Blvd
Louisville, KY 40205-1928
Phone
(502) 459-4887
Fax
(502) 452-1484
NPI assigned
Jan 3, 2007
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. Mary Lynne Masterson
Title
Director
Phone
(502) 459-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750003 KY Primary

Addresses

Primary practice location

2000 Douglass Blvd
Louisville, KY 40205-1928

Mailing address

2000 Douglass Blvd
Louisville, KY 40205-1928
Phone (502) 459-4887

Other identifiers 1

IdentifierTypeStateIssuer
43001569MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063579233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DOUGLASS BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051928",
            "telephone_number": "502-459-4887",
            "fax_number": "502-452-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DOUGLASS BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051928",
            "telephone_number": "502-459-4887",
            "fax_number": "502-452-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS COMMUNITY MINISTRIES SENIOR SERVICES ADULT DAY HEALTH CENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "MARY LYNNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-459-4887",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43001569",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, 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.