Active NPI
Cognitive Care
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Louisville, KY
National Provider Identifier
1336905173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- COGNITIVE CARE
- Practice address
- 309 Palazzo Cir Apt 210
Louisville, KY 40222-5697 - Phone
- (502) 665-1905
- NPI assigned
- Feb 27, 2024
- Last updated
- Dec 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariah Dix
- Title
- Ceo
- Phone
- (502) 541-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
309 Palazzo Cir Apt 210
Louisville, KY 40222-5697
Mailing address
309 Palazzo Cir Apt 210
Louisville, KY 40222-5697
Phone (502) 665-1905
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734220800000",
"number": "1336905173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 PALAZZO CIR APT 210",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225697",
"telephone_number": "502-665-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 PALAZZO CIR APT 210",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225697",
"telephone_number": "502-665-1905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COGNITIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A",
"authorized_official_last_name": "DIX",
"authorized_official_first_name": "MARIAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "502-541-1080"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.