Organization Active NPI

The Children'S Advocacy Center of Green River District

  • Voluntary or Charitable Agency
  • Henderson, KY
National Provider Identifier
1386790343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
THE CHILDREN'S ADVOCACY CENTER OF GREEN RIVER DISTRICT
Practice address
537 S Green St
Henderson, KY 42420-3902
Phone
(270) 830-8400
Fax
(270) 830-8262
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Paula Yevincy, MSSW, CSW
Title
Executive Director
Phone
(270) 830-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

537 S Green St
Henderson, KY 42420-3902

Mailing address

537 S Green St
Henderson, KY 42420-3902
Phone (270) 830-8400

Other identifiers 1

IdentifierTypeStateIssuer
13000153MedicaidKY

Other names 1

  • Redbanks Area Regional Children's Advocacy Center Former legal business name

National Provider Directory

National Provider Directory

Locations

537 S Green St
Henderson, KY 42420
Phone (270) 830-8400

Practitioners & affiliated clinicians

Practitioners 1

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386790343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 S GREEN ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203902",
            "telephone_number": "270-830-8400",
            "fax_number": "270-830-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 S GREEN ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203902",
            "telephone_number": "270-830-8400",
            "fax_number": "270-830-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S ADVOCACY CENTER OF GREEN RIVER DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEVINCY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-830-8400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSW, CSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13000153",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redbanks Area Regional Children's Advocacy Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.