Organization Active NPI

Presbyterian Child Welfare Agency, Inc

Doing business as Buckhorn Children and Family Services

  • Substance Abuse Rehabilitation Facility
  • Buckhorn, KY
National Provider Identifier
1386318616
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PRESBYTERIAN CHILD WELFARE AGENCY, INC
Doing business as
Buckhorn Children and Family Services
Practice address
1355 Cedar Point Rd
Buckhorn, KY 41721
Phone
(606) 398-5077
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Kennith Mitchell Smith
Title
Chief Financial Officer
Phone
(606) 398-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1355 Cedar Point Rd
Buckhorn, KY 41721

Mailing address

116 Buckhorn LN
Buckhorn, KY 41721-8987
Phone (606) 398-7000

Other practice location 1

1677 Cedar Point Rd
Buckhorn, KY 41721
Phone (606) 398-7000

Other names 1

  • BUCKHORN CHILDREN AND FAMILY SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Buckhorn Children and Family Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1386318616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BUCKHORN LN",
            "city": "BUCKHORN",
            "state": "KY",
            "postal_code": "417218987",
            "telephone_number": "606-398-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 CEDAR POINT RD",
            "city": "BUCKHORN",
            "state": "KY",
            "postal_code": "41721",
            "telephone_number": "606-398-5077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1677 CEDAR POINT RD",
            "address_purpose": "LOCATION",
            "city": "BUCKHORN",
            "state": "KY",
            "postal_code": "41721",
            "country_code": "US",
            "telephone_number": "606-398-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESBYTERIAN CHILD WELFARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNITH",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "606-398-7000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCKHORN CHILDREN AND FAMILY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BUCKHORN CHILDREN AND FAMILY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhorn, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.