Organization Active NPI

North Central District Home Health Agency

  • Home Health Agency
  • Shelbyville, KY
National Provider Identifier
1588647895
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
KY150068 Issued in KY
Legal business name
NORTH CENTRAL DISTRICT HOME HEALTH AGENCY
Practice address
30 Main St
Shelbyville, KY 40065-1020
Phone
(502) 845-2761
Fax
(502) 845-7998
NPI assigned
Nov 22, 2005
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Renee' Blair, R.N.
Title
Health District Director
Phone
(502) 845-2761

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X KY150068 KY
Home Health Agency 251E00000X KY150068 KY Primary
Public Health or Welfare Agency 251K00000X KY150068 KY

Addresses

Primary practice location

30 Main St
Shelbyville, KY 40065-1020

Mailing address

PO Box 358
31 East Cross Main Street
New Castle, KY 40050-0358
Phone (502) 845-2761

Other identifiers 1

IdentifierTypeStateIssuer
34002527MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1588647895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "address_2": "31 EAST CROSS MAIN STREET",
            "city": "NEW CASTLE",
            "state": "KY",
            "postal_code": "400500358",
            "telephone_number": "502-845-2761",
            "fax_number": "502-845-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651020",
            "telephone_number": "502-845-2761",
            "fax_number": "502-845-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL DISTRICT HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "RENEE'",
        "authorized_official_title_or_position": "HEALTH DISTRICT DIRECTOR",
        "authorized_official_telephone_number": "502-845-2761",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KY",
            "license": "KY150068",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "KY150068",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": "KY150068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34002527",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.