Vcmy II Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

VCMY II CORPORATION

Practice address

163 Alpine Dr
Shelbyville, KY 40065-8878

Phone

(502) 647-3474

Fax

(502) 647-9572

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronnie Joe Myatt

Title

Executive Director

Phone

(502) 647-3474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MyHomeplace Doing business as

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1275748923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1294",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400661294",
            "telephone_number": "502-647-3474",
            "fax_number": "502-647-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ALPINE DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658878",
            "telephone_number": "502-647-3474",
            "fax_number": "502-647-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCMY II CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MYATT",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-647-3474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000688",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyHomeplace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.