Active NPI
Bluegrass Adult Care, LLC
- Adult Day Care Clinic/Center
- Middlesboro, KY
National Provider Identifier
1184253361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- BLUEGRASS ADULT CARE, LLC
- Practice address
- 2317 Cumberland Ave
Middlesboro, KY 40965-2834 - Phone
- (606) 269-4729
- NPI assigned
- Apr 8, 2020
- Last updated
- Apr 8, 2020
- 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. Sherrill King
- Title
- Owner/Ceo
- Phone
- (606) 269-4729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
2317 Cumberland Ave
Middlesboro, KY 40965-2834
Mailing address
2317 Cumberland Ave
Middlesboro, KY 40965-2834
Phone (606) 269-4729
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586304000000",
"number": "1184253361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 CUMBERLAND AVE",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409652834",
"telephone_number": "606-269-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 CUMBERLAND AVE",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409652834",
"telephone_number": "606-269-4729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEGRASS ADULT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "SHERRILL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "606-269-4729",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlesboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.