NPIMap

Organization Active NPI

Cornell Memory Center

  • Adult Day Care Clinic/Center
  • Hopkinsville, KY
National Provider Identifier
1083094932
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CORNELL MEMORY CENTER
Practice address
101 North Drive
Hopkinsville, KY 42240
Phone
(270) 885-1375
Fax
(270) 885-1377
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIAN CARE COMMUNITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Donna Jo Smith
Title
Director, Central Billing Office
Phone
(502) 254-4258

Specialties & licenses 1

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

Addresses

Primary practice location

101 North Drive
Hopkinsville, KY 42240

Mailing address

12710 Townepark Way
Suite 1000
Louisville, KY 40243-2534
Phone (502) 254-4258

National Provider Directory

National Provider Directory
Tax ID family
Christian Care Communities12 organizations share this tax ID, including this one
Part of
Christian Care Communities

Other organizations with this tax ID 11

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

Locations

12710 Townepark Way
Ste 1000
Louisville, KY 40243
Phone (502) 254-4200

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1083094932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 TOWNEPARK WAY",
            "address_2": "SUITE 1000",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432534",
            "telephone_number": "502-254-4258",
            "fax_number": "502-254-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH DRIVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-885-1375",
            "fax_number": "270-885-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL MEMORY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN CARE COMMUNITIES, INC.",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR, CENTRAL BILLING OFFICE",
        "authorized_official_telephone_number": "502-254-4258"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.