Caregiver Services of Ky LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

500066 Issued in KY

Legal business name

CAREGIVER SERVICES OF KY LLC

Doing business as

Premier Caregiver Services

Practice address

4640 Chamberlain LN
Louisville, KY 40241-1160

Phone

(502) 384-1840

Fax

(502) 371-0661

NPI assigned

Sep 9, 2015

Last updated

Sep 9, 2015By 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

Mr. John F. Ocallaghan

Title

Agency/Owner

Phone

(502) 384-1840

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Premier Caregiver Services Doing business as

Locations

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1497123392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 CHAMBERLAIN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411160",
            "telephone_number": "502-384-1840",
            "fax_number": "502-371-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 CHAMBERLAIN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411160",
            "telephone_number": "502-384-1840",
            "fax_number": "502-371-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVER SERVICES OF KY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "OCALLAGHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "AGENCY/OWNER",
        "authorized_official_telephone_number": "502-384-1840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "KY",
            "license": "500066",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KY",
            "license": "500066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF KY CABINET FOR HEALTH AND FAMILY SERVICES",
            "identifier": "500066",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Caregiver Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Louisville, KY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.