Easter Seals West Kentucky

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EASTER SEALS WEST KENTUCKY

Practice address

2229 Mildred St.
Paducah, KY 42001

Phone

(270) 443-1200

Fax

(270) 444-0655

NPI assigned

Mar 22, 2007

Last updated

Jul 7, 2014By 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

Mrs. Lisa Carrico

Title

VP Adult Services

Phone

(270) 443-1200

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Easter Seals West Kentucky4 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.

• Easter Seals West Kentucky

  • Adult Day Care Clinic/Center
  • Benton, KY
  • NPI 1114192168
  NPD tax ID
• Easter Seals West Kentucky

  • Adult Day Care Clinic/Center
  • Paducah, KY
  • NPI 1164447124
  NPD tax ID
• Easter Seals West Kentucky, Inc.

  • Behavior Analyst
  • Paducah, KY
  • NPI 1720123870
  NPD tax ID

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1427174408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N. 29TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-443-1200",
            "fax_number": "270-444-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 MILDRED ST.",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-443-1200",
            "fax_number": "270-444-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS WEST KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP ADULT SERVICES",
        "authorized_official_telephone_number": "270-443-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33900424",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100156980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lana Suzette Dycus
• Michele Dykes
• Dynamic Therapy Concepts PLLC
• Ear Nose & Throat Group PSC
• Easter Seals West Kentucky
• Easter Seals West Kentucky, Inc.
• Easycare Inc (Corner Homecare)
• Kelli Edging
• Kenneth Wayne Edmisson Jr., ND EDD RNC FNP CRNA
• Paige Chanel Edmonds, PHARMD

• Developmentally Disabled Services Day Training Agency in Paducah, KY
• Providers in Paducah, KY by specialty
• Developmentally Disabled Services Day Training Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.