Christian Appalachian Project, Inc
Organization Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Mt. Vernon, KY
NPI 1447303045 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1447303045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
- License
- 33001033 (KY)
- Legal business name
- CHRISTIAN APPALACHIAN PROJECT, INC
- Practice address
- 25 Beiting Lane
Mt. Vernon, KY 40456 - Phone
- (606) 256-0539
- Fax
- (606) 256-0694
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Linville Rose
- Title
- Assistant Director
- Phone
- (606) 256-0539
Corporate family (same tax ID) 1
Practitioners 2
-
Christopher Griffith, LPCC
-
Jalane Speaks, NCC, LPCC
National Provider Directory
- Tax ID family
- Christian Appalachian Project Inc
Locations
25 Beiting Ln
Mount Vernon, KY 40456
Phone (606) 256-0539
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 33001033 | KY | Yes |
Addresses
Primary practice location
25 Beiting Lane
Mt. Vernon, KY 40456
Mailing address
25 Beiting Lane
Mt. Vernon, KY 40456
Phone (606) 256-0539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33001033 | Medicaid | KY |
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All providers in Mt. Vernon, KY · Child Intellectual and/or Developmental Disabilities Respite Care in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.