Lincoln Trail Area Development District

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

LINCOLN TRAIL AREA DEVELOPMENT DISTRICT

Practice address

750 S Provident Way
Elizabethtown, KY 42701-5956

Phone

(270) 769-2393

Fax

(270) 769-2993

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Daniel London

Title

Executive Director

Phone

(270) 769-2393

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lincoln Trail Area Development District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Lincoln Trail Area Development District

  • Supports Brokerage Agency
  • Elizabethtown, KY
  • NPI 1104971357
  NPD tax ID
• Lincoln Trail Area Development District

  • Supports Brokerage Agency
  • Elizabethtown, KY
  • NPI 1578618039
  NPD tax ID

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1295880441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S PROVIDENT WAY",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015956",
            "telephone_number": "270-769-2393",
            "fax_number": "270-769-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PROVIDENT WAY",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015956",
            "telephone_number": "270-769-2393",
            "fax_number": "270-769-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN TRAIL AREA DEVELOPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-769-2393"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCB WAIVER",
            "identifier": "43996057",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Gail Lile, PT
• James Michael Lile I, RPH
• Lincare Inc.
• Lincoln Medical Supply, Inc.
• Lincoln Trail Area Development District
• Lincoln Trail Area Development District
• Lincoln Trail Dental, PLLC
• Lincoln Trail District Health Department
• Lincoln Trail District Health Department
• Tasha L Lindsey, BSW

• Supports Brokerage Agency in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Supports Brokerage Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.