Organization Active NPI

Easter Seals West Kentucky

  • Adult Day Care Clinic/Center
  • Paducah, KY
National Provider Identifier
1164447124
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750088 Issued in KY
Legal business name
EASTER SEALS WEST KENTUCKY
Practice address
2229 Mildred St.
Paducah, KY 42001
Phone
(270) 443-1200
Fax
(270) 444-0655
NPI assigned
Jul 12, 2006
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Mrs. Lisa Carrico
Title
VP Adult Services
Phone
(270) 443-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750088 KY Primary

Addresses

Primary practice location

2229 Mildred St.
Paducah, KY 42001

Mailing address

801 N 29TH St.
Paducah, KY 42001
Phone (270) 443-1200

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals West Kentucky4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1908 N 14th St
Paducah, KY 42001
Phone (270) 443-1200

801 N 29th St
Paducah, KY 42001
Phone (270) 443-1200

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1164447124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 29TH ST.",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-443-1200",
            "fax_number": "270-444-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 MILDRED ST.",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-443-1200",
            "fax_number": "270-444-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS WEST KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP ADULT SERVICES",
        "authorized_official_telephone_number": "270-443-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.