Organization Active NPI

Synergy Care LLC

  • Infusion Therapy Clinic/Center
  • Louisville, KY
National Provider Identifier
1386503076
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
SYNERGY CARE LLC
Practice address
6420 Dutchmans Pkwy Ste 390
Louisville, KY 40205-3347
Phone
(833) 425-6868
Fax
(855) 217-1930
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Juderal Hall
Title
Division President
Phone
(800) 482-8466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

6420 Dutchmans Pkwy Ste 390
Louisville, KY 40205-3347

Mailing address

18451 Dallas Pkwy Ste 150
Dallas, TX 75287-5212

Other names 1

  • Advanced Infusion Care Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318000696 KY Part B Supplier - Clinic/Group Practice 1153839691 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Advanced Infusion Care Centers4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

1010 E McDowell Rd
Ste 105
Phoenix, AZ 85006
Phone (480) 562-6013

5881 Glenridge Dr
Ste 130
Sandy Springs, GA 30328
Phone (833) 425-6868

5881 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (833) 425-6868

6420 Dutchmans Pkwy
Ste 390
Louisville, KY 40205
Phone (502) 259-9160

18451 Dallas Pkwy
Ste 150
Dallas, TX 75287
Phone (601) 988-1700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1386503076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 DALLAS PKWY STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 390",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053347",
            "telephone_number": "833-425-6868",
            "fax_number": "855-217-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JUDERAL",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "800-482-8466"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Infusion Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.