Organization Active NPI

Laurel Housing Inc.

Doing business as Laurel Heights Home for the Elderly

  • Parenteral & Enteral Nutrition Supplies (DME)
  • London, KY
National Provider Identifier
1316120306
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
100280 Issued in KY
Legal business name
LAUREL HOUSING INC.
Doing business as
Laurel Heights Home for the Elderly
Practice address
208 W 12TH St
London, KY 40741-1101
Phone
(606) 864-4155
NPI assigned
Dec 12, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Kathey Young
Title
Administrator
Phone
(606) 864-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 100280 KY Primary

Addresses

Primary practice location

208 W 12TH St
London, KY 40741-1101

Mailing address

PO Box 1800
London, KY 40743-1800
Phone (606) 864-4155

Other identifiers 1

IdentifierTypeStateIssuer
90006560MedicaidKY

Other names 1

  • Laurel Heights Home for the Elderly Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1316120306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1800",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407431800",
            "telephone_number": "606-864-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 12TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411101",
            "telephone_number": "606-864-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HOUSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KATHEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-864-4155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "100280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Heights Home for the Elderly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.