Zoom Group

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

0216571 Issued in KY

Legal business name

ZOOM GROUP

Practice address

1904 Embassy Square Blvd
Louisville, KY 40299

Phone

(502) 581-0658

Fax

(502) 581-9520

NPI assigned

Jun 13, 2006

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Wilson

Title

Quality Assurance Manager

Phone

(502) 581-0658

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Zoom Group Former legal business name

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1609818434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 EMBASSY SQUARE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "502-581-0658",
            "fax_number": "502-581-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 EMBASSY SQUARE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40299",
            "telephone_number": "502-581-0658",
            "fax_number": "502-581-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOM GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "QUALITY ASSURANCE MANAGER",
        "authorized_official_telephone_number": "502-581-0658"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KY",
            "license": "0216571",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "750120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43000355",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33300393",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zoom Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Developmentally Disabled Services Day Training Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.