Organization Active NPI

Gore Behavioral Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1679032981
Registry record updated Mar 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GORE BEHAVIORAL CARE, LLC
Practice address
855 Lovers LN Ste 106
Bowling Green, KY 42103-7989
Phone
(270) 938-5765
Fax
(833) 471-3546
NPI assigned
Mar 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2019

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

Authorized official

Name
Cheryl Rene Gore, APRN
Title
Owner
Phone
(270) 938-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

855 Lovers LN Ste 106
Bowling Green, KY 42103-7989

Mailing address

737 Laurelwood Cir
Bowling Green, KY 42103-6008
Phone (270) 599-2419

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552694400000",
    "number": "1679032981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 LAURELWOOD CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036008",
            "telephone_number": "270-599-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 LOVERS LN STE 106",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037989",
            "telephone_number": "270-938-5765",
            "fax_number": "833-471-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORE BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-16",
        "last_updated": "2019-03-16",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-938-5765",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; 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.