Active NPI
Elmcroft of Sherwood
- Assisted Living Facility
- Louisville, KY
National Provider Identifier
1154556231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ELMCROFT OF SHERWOOD
- Practice address
- 9510 Ormsby Station Rd
Suite 101
Louisville, KY 40223-4081 - Phone
- (502) 753-6100
- NPI assigned
- May 19, 2009
- 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
- Mr. Tony Miranda
- Title
- Controller
- Phone
- (502) 753-6034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
9510 Ormsby Station Rd
Suite 101
Louisville, KY 40223-4081
Mailing address
9880 Brockington Rd
Sherwood, AR 72120-3585
Phone (501) 835-6000
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.
-
- Psychiatry Physician
- Maumelle, AR
- NPI 1497701692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242691200000",
"number": "1154556231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9880 BROCKINGTON RD",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203585",
"telephone_number": "501-835-6000",
"fax_number": "501-835-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9510 ORMSBY STATION RD",
"address_2": "SUITE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234081",
"telephone_number": "502-753-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMCROFT OF SHERWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "502-753-6034",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"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 May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.