Organization Active NPI

Alternative Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1619017175
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ALTERNATIVE ADULT DAY HEALTH CARE CENTER
Practice address
147 Wilma Ave
Louisville, KY 40229-6623
Phone
(502) 955-1750
Fax
(502) 955-9010
NPI assigned
Feb 7, 2007
Last updated
Feb 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Ms. Leah Jane Ferguson, ADMINISTRATOR
Title
Administrator
Phone
(502) 955-1750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Health Service Clinic/Center 261QH0100X 7100170430 KY

Addresses

Primary practice location

147 Wilma Ave
Louisville, KY 40229-6623

Mailing address

147 Wilma Ave
Louisville, KY 40229-6623
Phone (502) 955-1750

Other identifiers 1

IdentifierTypeStateIssuer
43000009MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Alternative Adult Day Health Care Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1619017175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WILMA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296623",
            "telephone_number": "502-955-1750",
            "fax_number": "502-955-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WILMA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296623",
            "telephone_number": "502-955-1750",
            "fax_number": "502-955-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-955-1750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "7100170430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43000009",
            "state": "KY"
        }
    ],
    "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 Feb 17, 2014; 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.