Christian Care at Home - Pennyroyal, Limited

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

750182 Issued in KY

Legal business name

CHRISTIAN CARE AT HOME - PENNYROYAL, LIMITED

Practice address

122 W Union St
Hartford, KY 42347-1416

Phone

(270) 298-3112

Fax

(270) 298-4766

NPI assigned

Aug 10, 2012

Organization subpart

Yes

Parent organization

CHRISTIAN CARE COMMUNITIES, INC.As reported in NPPES

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

Authorized official

Name

Dr. Keith R. Knapp, PHD

Title

Chief Executive Officer

Phone

(502) 254-4200

Specialties & licenses 2

Addresses

Other names 1

• Christian Care at Home Doing business as

Part of

Christian Care Communities

Locations

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1124375092",
    "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": "502-254-4200",
            "fax_number": "502-254-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W UNION ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471416",
            "telephone_number": "270-298-3112",
            "fax_number": "270-298-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE AT HOME - PENNYROYAL, LIMITED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN CARE COMMUNITIES, INC.",
        "enumeration_date": "2012-08-10",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "502-254-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KY",
            "license": "150138",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "750182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shannon Denise Casey, APRN
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• All providers in Hartford, KY
• Home Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.