Organization Active NPI

New Age Adult Day Services

  • Adult Day Care Clinic/Center
  • Brandenburg, KY
National Provider Identifier
1609921485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NEW AGE ADULT DAY SERVICES
Practice address
2015 Bypass Rd
Brandenburg, KY 40108-1605
Phone
(270) 422-7777
Fax
(270) 422-7799
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Monique Lisa Lavertu-Kottcamp
Title
Director
Phone
(270) 422-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

2015 Bypass Rd
Brandenburg, KY 40108-1605

Mailing address

2015 Bypass Rd
Brandenburg, KY 40108-1605
Phone (270) 422-7777

Other identifiers 1

IdentifierTypeStateIssuer
43000348MedicaidKY

National Provider Directory

National Provider Directory

Locations

2015 Bypass Rd
Brandenburg, KY 40108
Phone (270) 422-7777

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609921485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081605",
            "telephone_number": "270-422-7777",
            "fax_number": "270-422-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081605",
            "telephone_number": "270-422-7777",
            "fax_number": "270-422-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVERTU-KOTTCAMP",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-422-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43000348",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.