Organization Active NPI

Buena Vida Adhc, LLC

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1356974646
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BUENA VIDA ADHC, LLC
Practice address
4620 Preston Hwy
Louisville, KY 40213-2146
Phone
(502) 298-1455
NPI assigned
Feb 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Yarima Elena Hernandez Perez
Title
President
Phone
(502) 298-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4620 Preston Hwy
Louisville, KY 40213-2146

Mailing address

8611 Fenwick Creek PL Apt D
Louisville, KY 40220-5835
Phone (502) 298-1455

National Provider Directory

National Provider Directory

Locations

4620 Preston Hwy
Louisville, KY 40213
Phone (502) 298-1455

NPI Registry JSON

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1356974646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 FENWICK CREEK PL APT D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205835",
            "telephone_number": "502-298-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132146",
            "telephone_number": "502-298-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA ADHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ PEREZ",
        "authorized_official_first_name": "YARIMA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-298-1455"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "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 Feb 19, 2020; 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.