Personal Family Care, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

21969 Issued in KY

Legal business name

PERSONAL FAMILY CARE, PLLC

Practice address

79 Bobolink Dr
Springfield, KY 40069-1516

Phone

(859) 336-3365

Fax

(859) 336-1403

NPI assigned

Sep 14, 2011

Last updated

Dec 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Wells

Title

Owner

Phone

(859) 336-3365

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1407138506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BOBOLINK DR",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691516",
            "telephone_number": "859-336-3365",
            "fax_number": "859-336-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BOBOLINK DR",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691516",
            "telephone_number": "859-336-3365",
            "fax_number": "859-336-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-336-3365"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "21969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT GROUP",
            "identifier": "50034745",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64219694",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy F Nolan Jr., MD
• Laura Michelle Oldham, APRN, NP-C
• Outreach Behavioral Health
• Wesley D Paul, MFT, DMIN
• Allie Lynn Perkins, PHARMD
• Susan Pointer, CADC
• Patricia Graves Reed, SLP
• Regina P. Brockman, D.C., PLLC (Brockman Chiropractic, PLLC)
• Rhonda Riney, OTRL
• Beth Robben

• Health Service Clinic/Center in Springfield, KY
• Providers in Springfield, KY by specialty
• Health Service Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.