Tovara Gray

Individual provider Active NPI Case Manager/Care Coordinator · Scottsville, KY

NPI 1619254844 · NPPES record last updated Nov 16, 2011

Key facts

NPI
1619254844
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
512 Bowling Green Rd
Scottsville, KY 42164-8303
Phone
(270) 237-4481
Fax
(270) 237-4858
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

512 Bowling Green Rd
Scottsville, KY 42164-8303

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000

Other identifiers

IdentifierTypeStateIssuer
30604011MedicaidKY

Other providers in Scottsville, KY

All providers in Scottsville, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.