Organization Active NPI

Rockcastle County Adult Health Care

  • Adult Day Care Clinic/Center
  • Mount Vernon, KY
National Provider Identifier
1659595304
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750080 Issued in KY
Legal business name
ROCKCASTLE COUNTY ADULT HEALTH CARE
Practice address
1260 S. Wilderness Road
Mount Vernon, KY 40456
Phone
(606) 256-4316
Fax
(606) 256-1626
NPI assigned
Apr 12, 2007
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Mrs. Brenda Cable, RN
Title
Administrator
Phone
(606) 256-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750080 KY Primary

Addresses

Primary practice location

1260 S. Wilderness Road
Mount Vernon, KY 40456

Mailing address

1260 S. Wilderness Rd
Mt. Vernon, KY 40456
Phone (606) 256-4316

Other identifiers 1

IdentifierTypeStateIssuer
43001023MedicaidKY

National Provider Directory

National Provider Directory

Locations

1260 S Wilderness Rd
Mount Vernon, KY 40456
Phone (606) 256-4316

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1659595304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S. WILDERNESS RD",
            "city": "MT. VERNON",
            "state": "KY",
            "postal_code": "40456",
            "telephone_number": "606-256-4316",
            "fax_number": "606-256-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S. WILDERNESS ROAD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "40456",
            "telephone_number": "606-256-4316",
            "fax_number": "606-256-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKCASTLE COUNTY ADULT HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "CABLE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-256-4316",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43001023",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.