Presbyterian Homes and Services of Kentucky, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

101046 Issued in KY

Legal business name

PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC

Practice address

2116 Buechel Bank Rd
Louisville, KY 40218-3521

Phone

(502) 499-9383

NPI assigned

Apr 17, 2007

Organization subpart

Yes

Parent organization

PRESBYTERIAN HOMES AND SERVICES OF KENTUCKYAs reported in NPPES

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

Authorized official

Name

Hattie Wagner

Title

President / Ceo

Phone

(502) 259-9101

Specialties & licenses 5

Addresses

Part of

Presbyterian Homes SVC Ky

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1609092113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18067",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402610067",
            "telephone_number": "502-499-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 BUECHEL BANK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183521",
            "telephone_number": "502-499-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "502-259-9101"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004650",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R1071",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3513",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2655",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "101046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of West Virginia Medical, Medical Corporation
• Prencare of Kentucky, Inc
• Shavon Prentice, APRN
• Travis Jason Prentice
• Presbyterian Homes and Services of Kentucky, Inc
• Prescient Medicine Holdings, Inc.
• Prescott Plastic Surgery & Med Spa PLLC
• Angela Te-Fang Prescott, M.D.
• Rachel Grey Prescott, CRNA
• Paige Elizabeth Presgrove

• Rehabilitation Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.