Communicare Inc
Organization Active NPI Community/Behavioral Health Agency · Elizabethtown, KY
NPI 1700923141 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1700923141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 800005 (KY)
- Legal business name
- COMMUNICARE INC
- Practice address
- 1311 N Dixie Hwy
Elizabethtown, KY 42701-2621 - Phone
- (270) 360-0419
- Fax
- (270) 234-8572
- NPI assigned
- Feb 1, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNICARE INC
Authorized official
- Name
- Lisa Wise
- Title
- Ceo
- Phone
- (270) 765-2605
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000758 | KY | Part B Supplier - Clinic/Group Practice | 9830097815 |
Receives reassigned benefits from 48 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hodgenville, KY; Lebanon, KY; Radcliff, KY; Springfield, KY; Leitchfield, KY; Elizabethtown, KY; Bardstown, KY; Brandenburg, KY… |
National Provider Directory
- Tax ID family
- Communicare Inc
- Part of
- Communicare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 800005 | KY | Yes |
Addresses
Primary practice location
1311 N Dixie Hwy
Elizabethtown, KY 42701-2621
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 546916000 | Other | KY | MAGELLAN |
| 2910048400 | Medicaid | KY | |
| 000000057131 | Other | KY | ANTHEM |
| 2448575000 | Other | KY | PASSPORT ADVANTAGE |
Other providers in Elizabethtown, KY
- Nicolas Comley
- Commonwealth Pain Associates PLLC
- Commonwealth Pain Associates, PLLC
- Communicare Inc
- Communicare Inc
- Communicare Inc
- Communicare Inc
- Communicare Inc
- Communicare, Inc
- Communicare, Inc.
All providers in Elizabethtown, KY · Community/Behavioral Health Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.