Organization Active NPI

Neuroconnexions

  • In Home Supportive Care Agency
  • Louisville, KY
National Provider Identifier
1720617004
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEUROCONNEXIONS
Practice address
4229 Bardstown Rd Ste 214
Louisville, KY 40218-3241
Phone
(502) 536-6111
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Uneka Shervon Kendrick
Title
Owner/ C.E.O
Phone
(503) 536-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4229 Bardstown Rd Ste 214
Louisville, KY 40218-3241

Mailing address

4229 Bardstown Rd Ste 214
Louisville, KY 40218-3241
Phone (502) 536-6111

Other identifiers 1

IdentifierTypeStateIssuer
7100379100MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1720617004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD STE 214",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183241",
            "telephone_number": "502-536-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD STE 214",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183241",
            "telephone_number": "502-536-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCONNEXIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "UNEKA",
        "authorized_official_middle_name": "SHERVON",
        "authorized_official_title_or_position": "OWNER/ C.E.O",
        "authorized_official_telephone_number": "503-536-6111"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100379100",
            "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 Apr 7, 2020; 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.