Organization Active NPI

Pennyroyal Center

  • Case Management Agency
  • Louisville, KY
National Provider Identifier
1477785921
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PENNYROYAL CENTER
Practice address
5121 Emery Ave
Louisville, KY 40214-2724
Phone
(502) 693-3437
NPI assigned
Aug 18, 2009
Last updated
Aug 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Mrs. Jessica R Wood
Title
Primary Service Coordinator
Phone
(270) 338-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

5121 Emery Ave
Louisville, KY 40214-2724

Mailing address

5121 Emery Ave
Louisville, KY 40214-2724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1477785921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 EMERY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 EMERY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142724",
            "telephone_number": "502-693-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYROYAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRIMARY SERVICE COORDINATOR",
        "authorized_official_telephone_number": "270-338-5211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 18, 2009; 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.