NPIMap

Organization Active NPI

Powell Adult Day Care

  • Adult Day Care Clinic/Center
  • Clay City, KY
National Provider Identifier
1528110657
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750105 Issued in KY
Legal business name
POWELL ADULT DAY CARE
Practice address
176 12TH Street
Clay City, KY 40312
Phone
(606) 663-0794
Fax
(606) 663-1254
NPI assigned
Jan 17, 2007
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Mrs. Vicki M Jozefowicz
Title
Executive Director
Phone
(859) 624-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750105 KY Primary

Addresses

Primary practice location

176 12TH Street
Clay City, KY 40312

Mailing address

P.O. Box 82
176 12TH Street
Clay City, KY 40312
Phone (606) 663-0794

Other identifiers 1

IdentifierTypeStateIssuer
43000017MedicaidKY

Other names 1

  • Owned by Foothills Community Action Other name

National Provider Directory

National Provider Directory
Tax ID family
Powell Adult Day Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1528110657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 82",
            "address_2": "176 12TH STREET",
            "city": "CLAY CITY",
            "state": "KY",
            "postal_code": "40312",
            "telephone_number": "606-663-0794",
            "fax_number": "606-663-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 12TH STREET",
            "city": "CLAY CITY",
            "state": "KY",
            "postal_code": "40312",
            "telephone_number": "606-663-0794",
            "fax_number": "606-663-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "JOZEFOWICZ",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-624-2046",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43000017",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owned by Foothills Community Action",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clay City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.