Organization Active NPI

Lucasacarebg, LLC

Doing business as LucasaCare East

  • Developmentally Disabled Services Day Training Agency
  • Bowling Green, KY
National Provider Identifier
1073139382
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LUCASACAREBG, LLC
Doing business as
LucasaCare East
Practice address
639 Sherwood Dr
Bowling Green, KY 42103-1417
Phone
(270) 535-1931
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Mr. Delbert E Lucas
Title
Member, Owner
Phone
(270) 535-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

639 Sherwood Dr
Bowling Green, KY 42103-1417

Mailing address

639 Sherwood Dr
Bowling Green, KY 42103-1417
Phone (270) 535-1931

Other names 1

  • LucasaCare East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lucasacare East2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1073139382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 SHERWOOD DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031417",
            "telephone_number": "270-535-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 SHERWOOD DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031417",
            "telephone_number": "270-535-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCASACAREBG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DELBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER, OWNER",
        "authorized_official_telephone_number": "270-535-1931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LucasaCare East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.