Organization Active NPI

Bluegrass Services of Ky LLC

  • Home Modifications Contractor
  • Mt Washington, KY
National Provider Identifier
1508708694
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
BLUEGRASS SERVICES OF KY LLC
Practice address
176 Lynnwood Dr
Mt Washington, KY 40047-7055
Phone
(502) 428-6361
NPI assigned
Apr 7, 2026
Last updated
Aug 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Authorized official

Name
James Tolliver, OWNER
Title
Pesident/Ceo
Phone
(502) 428-6361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

176 Lynnwood Dr
Mt Washington, KY 40047-7055

Mailing address

176 Lynnwood Dr
Mt Washington, KY 40047-7055
Phone (502) 428-6361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786233600000",
    "number": "1508708694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LYNNWOOD DR",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477055",
            "telephone_number": "502-428-6361",
            "fax_number": "502-428-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LYNNWOOD DR",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477055",
            "telephone_number": "502-428-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS SERVICES OF KY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-08-09",
        "certification_date": "2026-08-09",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PESIDENT/CEO",
        "authorized_official_telephone_number": "502-428-6361",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.