NPIMap

Organization Active NPI

Louisville Independent Case Management, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Louisville, KY
National Provider Identifier
1689727224
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC
Practice address
8919 Stone Green Way
Louisville, KY 40220-4073
Phone
(502) 452-9089
Fax
(502) 495-7840
NPI assigned
Jan 18, 2007
Last updated
Jul 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Mrs. Amy Warner Newkirk
Title
Executive Director
Phone
(502) 452-9089

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

8919 Stone Green Way
Louisville, KY 40220-4073

Mailing address

8919 Stone Green Way
Louisville, KY 40220-4073
Phone (502) 452-9089

Other identifiers 2

IdentifierTypeStateIssuer
33000589MedicaidKY
17000316MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of Kentucky126 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

8919 Stone Green Way
Louisville, KY 40220
Phone (502) 452-9089

8919 Stone Green Way
#100
Louisville, KY 40220

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1689727224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 STONE GREEN WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204073",
            "telephone_number": "502-452-9089",
            "fax_number": "502-495-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 STONE GREEN WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204073",
            "telephone_number": "502-452-9089",
            "fax_number": "502-495-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE INDEPENDENT CASE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "NEWKIRK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "WARNER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-452-9089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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": "33000589",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17000316",
            "state": "KY"
        }
    ],
    "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 Jul 23, 2010; 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.