Organization Active NPI

Our Care Community Supports LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1114447679
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.