Hodgewood Haven LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

PENDING Issued in KY

Legal business name

HODGEWOOD HAVEN LLC

Practice address

85 S Laurel Rd
London, KY 40744-8550

Phone

(606) 312-3736

NPI assigned

Jan 8, 2011

Last updated

Jan 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thelma Woody

Title

Registered Agent/Member

Phone

(606) 312-3736

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1336443159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2421",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407432421",
            "telephone_number": "606-312-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448550",
            "telephone_number": "606-312-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGEWOOD HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "REGISTERED AGENT/MEMBER",
        "authorized_official_telephone_number": "606-312-3736"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in London, KY
• Providers in London, KY by specialty
• Adult Day Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.