NPIMap

Organization Active NPI

Spectrum Care Academy of E-Town

Doing business as Skopos Care

  • Psychiatric Residential Treatment Facility
  • Elizabethtown, KY
National Provider Identifier
1720298342
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
950019 Issued in KY
Legal business name
SPECTRUM CARE ACADEMY OF E-TOWN
Doing business as
Skopos Care
Practice address
461 Fowler Lane
Elizabethtown, KY 42701-8546
Phone
(714) 673-5035
Fax
(270) 234-0781
NPI assigned
May 23, 2007
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECTRUM CARE ACADEMY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Rebecca Peralta, M.A.
Title
Owner/Executive Director
Phone
(714) 673-5035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 950019 KY Primary

Addresses

Primary practice location

461 Fowler Lane
Elizabethtown, KY 42701-8546

Mailing address

309 Evergreen Rd.
Louisville, KY 40243
Phone (714) 673-5035

Other identifiers 2

IdentifierTypeStateIssuer
7101079920MedicaidKY
04000030MedicaidKY

Other names 1

  • Skopos Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720298342. Details of each certification follow.

  • CCN 18L019 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 18L019

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SPECTRUM CARE ACADEMY OF ELIZABETHTOWN II
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jul 8, 2004
Last certification
Jul 19, 2024
Beds
9
Ownership / control type
Government – state
Facility address
461 Fowler Lane
Elizabethtown, KY 42701

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Care Academy Glasgow I10 organizations share this tax ID, including this one
Part of
Spectrum Care Academy Glasgow I

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

461 Fowler Ln
Elizabethtown, KY 42701
Phone (270) 234-0591

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1720298342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EVERGREEN RD.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40243",
            "telephone_number": "714-673-5035",
            "fax_number": "270-384-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 FOWLER LANE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018546",
            "telephone_number": "714-673-5035",
            "fax_number": "270-234-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CARE ACADEMY OF E-TOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM CARE ACADEMY, INC.",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-673-5035",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": "950019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101079920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04000030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skopos Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.