Active NPI
NDT Care Services, LLC
Doing business as Homeplace Support Services
- Community/Behavioral Health Agency
- Lexington, KY
National Provider Identifier
1598113102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NDT CARE SERVICES, LLC
- Doing business as
- Homeplace Support Services
- Practice address
- 2647 Regency Rd
#105
Lexington, KY 40503-2959 - Phone
- (859) 936-2010
- Fax
- (859) 936-2099
- NPI assigned
- May 25, 2016
- Last updated
- May 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carla Barrowman Clevenger
- Title
- Executive Director
- Phone
- (859) 936-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2647 Regency Rd
#105
Lexington, KY 40503-2959
Mailing address
PO Box 24588
Lexington, KY 40524-4588
Phone (859) 936-2010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100156330 | Medicaid | KY | |
| 33000720 | Medicaid | KY | |
| 7100216880 | Medicaid | KY |
Other names 1
- Homeplace Support Services
National Provider Directory
National Provider Directory- Tax ID family
- Homeplace Support Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Homeplace Support Services
- Developmentally Disabled Services Day Training Agency
- Danville, KY
- NPI 1467705582
Locations
2647 Regency Rd
Ste 105
Lexington, KY 40503
Phone (859) 271-4246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1598113102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24588",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405244588",
"telephone_number": "859-936-2010",
"fax_number": "859-936-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 REGENCY RD",
"address_2": "#105",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032959",
"telephone_number": "859-936-2010",
"fax_number": "859-936-2099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NDT CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "CLEVENGER",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "BARROWMAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "859-936-2010",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100156330",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33000720",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100216880",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Homeplace Support Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.