Seniors Choice Assisted Living, LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

SENIORS CHOICE ASSISTED LIVING, LLC

Practice address

610 W Main St
C
Campbellsville, KY 42718-2501

Phone

(270) 789-9869

NPI assigned

Jan 28, 2012

Organization subpart

No

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

Authorized official

Name

Michael Ward Roberts

Title

President/Ceo

Phone

(502) 472-7948

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1669744215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "address_2": "C",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "address_2": "C",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182501",
            "telephone_number": "270-789-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS CHOICE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-28",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "502-472-7948"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; 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.