Kentucky Independent Support Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KENTUCKY INDEPENDENT SUPPORT SERVICES

Practice address

3503 Winchester Rd
Louisville, KY 40207-4337

Phone

(502) 417-1995

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Kristin Caid, BSW:QIDP/QDDP

Title

Executive Director

Phone

(502) 417-1995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1083062608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 WINCHESTER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074337",
            "telephone_number": "502-417-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 WINCHESTER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074337",
            "telephone_number": "502-417-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY INDEPENDENT SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "CAID",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-417-1995",
        "authorized_official_credential": "BSW:QIDP/QDDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Case Management Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.