Active NPI
Voans Senior Community Care of Jefferson County
- PACE Provider Organization
- Louisville, KY
National Provider Identifier
1124856505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY
- Practice address
- 12210 Town Park
Louisville, KY 41042 - Phone
- (952) 941-0305
- NPI assigned
- Jul 25, 2024
- 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
- Nancy Gavin
- Title
- Assistant Secretary
- Phone
- (612) 428-7840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
12210 Town Park
Louisville, KY 41042
Mailing address
7485 Office Ridge Cir
Eden Prairie, MN 55344-3690
Phone (612) 428-7840
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1124856505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7485 OFFICE RIDGE CIR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443690",
"telephone_number": "612-428-7840",
"fax_number": "952-941-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12210 TOWN PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "41042",
"telephone_number": "952-941-0305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "GAVIN",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "612-428-7840"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.