Organization Active NPI

Masire Care LLC

  • Multi-Specialty Clinic/Center
  • Louisville, KY
National Provider Identifier
1447900451
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MASIRE CARE LLC
Practice address
1450 Cypress St
Louisville, KY 40210-1966
Phone
(502) 619-0796
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Paris Kevona Shannon
Title
Director
Phone
(502) 619-0796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1450 Cypress St
Louisville, KY 40210-1966

Mailing address

1450 Cypress St
Louisville, KY 40210-1966
Phone (502) 619-0796

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL masirecarellc@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1447900451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CYPRESS ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101966",
            "telephone_number": "502-619-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CYPRESS ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101966",
            "telephone_number": "502-619-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASIRE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "KEVONA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-619-0796"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "masirecarellc@gmail.com",
            "affiliation": "N",
            "address_1": "1450 Cypress St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402101966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Mar 24, 2022; 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.