Active NPI
Good 2 B Home Adult Day Healthcare
- Adult Day Care Clinic/Center
- Louisville, KY
National Provider Identifier
1659154805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- GOOD 2 B HOME ADULT DAY HEALTHCARE
- Practice address
- 1920 Stanley Gault Pkwy Ste 104
Louisville, KY 40223-4209 - Phone
- (812) 671-6538
- NPI assigned
- Aug 14, 2023
- 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
- Mr. Russell Porras
- Title
- President
- Phone
- (812) 671-6538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1920 Stanley Gault Pkwy Ste 104
Louisville, KY 40223-4209
Mailing address
1920 Stanley Gault Pkwy Ste 104
Louisville, KY 40223-4209
National Provider Directory
National Provider DirectoryLocations
1920 Stanley Gault Pkwy
Ste 104
Louisville, KY 40223
Phone (812) 671-6538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1659154805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 STANLEY GAULT PKWY STE 104",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 STANLEY GAULT PKWY STE 104",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234209",
"telephone_number": "812-671-6538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD 2 B HOME ADULT DAY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "PORRAS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-671-6538",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.