Organization Active NPI

Bluegrass Community Care, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Georgetown, KY
National Provider Identifier
1649328378
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BLUEGRASS COMMUNITY CARE, INC.
Practice address
207 Augusta Dr
Georgetown, KY 40324-9533
Phone
(502) 867-7177
Fax
(502) 867-7179
NPI assigned
Jan 8, 2007
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mrs. Ruby Eileen Troyer
Title
President
Phone
(502) 867-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

207 Augusta Dr
Georgetown, KY 40324-9533

Mailing address

207 Augusta Dr
Georgetown, KY 40324-9533
Phone (502) 867-7177

Other identifiers 1

IdentifierTypeStateIssuer
33000852MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1649328378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 AUGUSTA DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249533",
            "telephone_number": "502-867-7177",
            "fax_number": "502-867-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 AUGUSTA DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249533",
            "telephone_number": "502-867-7177",
            "fax_number": "502-867-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-867-7177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000852",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.