RK, Adc, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

RK, ADC, LLC

Doing business as

Gathering Club

Practice address

4936 Brownsboro Road
Louisville, KY 40222

Phone

(502) 365-2586

NPI assigned

Oct 26, 2022

Organization subpart

Yes

Parent organization

RK ADC LLCAs reported in NPPES

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

Authorized official

Name

Edward Joseph Minnis

Title

Executive Director/Administrator

Phone

(502) 365-2586

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Gathering Club Doing business as

Tax ID family

RK Adc LLC2 organizations share this tax ID, including this one

Part of

RK Adc LLC

Other organizations with this tax ID 1

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

• RK, Adc, LLC

  dba Gathering Club

  • Adult Day Care Clinic/Center
  • Louisville, KY
  • NPI 1497188031
  NPD tax ID

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1083331417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 HAZELWOOD AVENUE",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141270",
            "telephone_number": "502-819-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 BROWNSBORO ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "502-365-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RK, ADC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RK ADC LLC",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "MINNIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "502-365-2586"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100272830",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100775650",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CABINET FOR HEALTH AND FAMILY SERVICES - ADHC LICENSE - EAST END",
            "identifier": "750220",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100686200",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CABINET FOR HEALTH AND FAMILY SERVICES - ADHC LICENSE - SOUTH END",
            "identifier": "750185",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100736930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gathering Club",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gathering Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmina Rizvanovic
• Joseph Michael Rizzo Jr.
• Kristine Rizzo, PT, DPT
• Scott Rizzo, DVM, MS, DACVIM
• RJ Associates LLC
• RK, Adc, LLC (Gathering Club)
• Jossan Roa
• Abbey Rose Roach, PHD
• Brent Allen Roach, MD
• Charlotte Roach

• Adult Day Care Clinic/Center in Louisville, KY
• Providers in Louisville, 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 Nov 8, 2022; 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.