NPIMap

Organization Active NPI

Easter Seals West Kentucky

  • Adult Day Care Clinic/Center
  • Benton, KY
National Provider Identifier
1114192168
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750148 Issued in KY
Legal business name
EASTER SEALS WEST KENTUCKY
Practice address
84 Commerce Blvd
Benton, KY 42025-1110
Phone
(270) 527-1332
Fax
(270) 527-1566
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mr. George William Kennedy
Title
V.P. Adult Services
Phone
(270) 443-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750148 KY Primary

Addresses

Primary practice location

84 Commerce Blvd
Benton, KY 42025-1110

Mailing address

2229 Mildred St
Paducah, KY 42001-3067
Phone (270) 443-1200

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals West Kentucky4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

84 Commerce Blvd
Benton, KY 42025
Phone (270) 527-1332

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1114192168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 MILDRED ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420013067",
            "telephone_number": "270-443-1200",
            "fax_number": "270-444-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 COMMERCE BLVD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251110",
            "telephone_number": "270-527-1332",
            "fax_number": "270-527-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS WEST KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "V.P. ADULT SERVICES",
        "authorized_official_telephone_number": "270-443-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.