Organization Active NPI

Fern Creek Highview United Ministries, Inc.

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1609025352
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FERN CREEK HIGHVIEW UNITED MINISTRIES, INC.
Practice address
9300 Beulah Church Rd
Louisville, KY 40291-2708
Phone
(502) 762-9608
Fax
(502) 762-9609
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Agatha Renee BryantNPI 1225856297
Title
Executive Director
Phone
(502) 762-9608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Respite Care 385H00000X 81498 KY

Addresses

Primary practice location

9300 Beulah Church Rd
Louisville, KY 40291-2708

Mailing address

9300 Beulah Church Rd
Louisville, KY 40291-2708
Phone (502) 762-9608

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2095533Fern Creek Highview United Ministries9300 Beulah Church Rd, Louisville, KY 40291Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fern Creek Highview United Ministries2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1609025352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 BEULAH CHURCH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402912708",
            "telephone_number": "502-762-9608",
            "fax_number": "502-762-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 BEULAH CHURCH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402912708",
            "telephone_number": "502-762-9608",
            "fax_number": "502-762-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN CREEK HIGHVIEW UNITED MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "AGATHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-762-9608"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "KY",
            "license": "81498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.