Active NPI
Our Care Community Supports LLC
- Community/Behavioral Health Agency
- Louisville, KY
National Provider Identifier
1114447679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- OUR CARE COMMUNITY SUPPORTS LLC
- Practice address
- 1512 Crums LN # Ln305
Louisville, KY 40216-3861 - Phone
- (502) 299-1827
- Fax
- (502) 409-5092
- NPI assigned
- Jun 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Contina A McClain, APRN
- Title
- Owner
- Phone
- (502) 299-1827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1512 Crums LN # Ln305
Louisville, KY 40216-3861
Mailing address
5407 Galaxie Dr
Louisville, KY 40258-3329
Phone (502) 299-1827
Other names 1
- My Care Family Community Support LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1619997285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114447679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 GALAXIE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583329",
"telephone_number": "502-299-1827",
"fax_number": "502-409-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 CRUMS LN # LN305",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402163861",
"telephone_number": "502-299-1827",
"fax_number": "502-409-5092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR CARE COMMUNITY SUPPORTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "CONTINA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-299-1827",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Care Family Community Support LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.