Active NPI
Bluegrass Community Care, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Georgetown, KY
National Provider Identifier
1649328378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33000852 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI 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
- Allison Claire-Marie Blevins
- Bliss Behavioral Health
- Blue Cypress IV and Wellness
- Bluegrass Behavioral School for Children (Bluegrass Behavioral Services for Children)
- Bluegrass Business Health
- Bluegrass Community Living, Inc.
- Bluegrass Direct Primary Care
- Bluegrass Obstetrics & Gynecology
- Bluegrass Orthopaedics PSC (Bluegrass Orthopaedics)
- Bluegrass Pediatrics and Internal Medicine, PLLC
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.