Venture Home Again, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VENTURE HOME AGAIN, INC.

Practice address

610 F M Stafford Ave
Paintsville, KY 41240-1230

Phone

(606) 789-5576

Fax

(606) 789-8612

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William Shackleford

Title

Chief Operationg Officer

Phone

(606) 789-5576

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1487820445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 F M STAFFORD AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 F M STAFFORD AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401230",
            "telephone_number": "606-789-5576",
            "fax_number": "606-789-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE HOME AGAIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SHACKLEFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF OPERATIONG OFFICER",
        "authorized_official_telephone_number": "606-789-5576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.