Organization Active NPI

Precious Memories Home Care

  • In Home Supportive Care Agency
  • Elizabethtown, KY
National Provider Identifier
1245462464
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRECIOUS MEMORIES HOME CARE
Practice address
702 Clifford Dr
Elizabethtown, KY 42701-2870
Phone
(270) 401-5117
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Mrs. Laura Beth Parker, C.N.A.
Title
Owner- Certified Nursing Assistant
Phone
(270) 401-5117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

702 Clifford Dr
Elizabethtown, KY 42701-2870

Mailing address

702 Clifford Dr
Elizabethtown, KY 42701-2870
Phone (270) 401-5117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1245462464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CLIFFORD DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012870",
            "telephone_number": "270-401-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CLIFFORD DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012870",
            "telephone_number": "270-401-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS MEMORIES HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER- CERTIFIED NURSING ASSISTANT",
        "authorized_official_telephone_number": "270-401-5117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.N.A."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.