Active NPI
Neuroconnexions
- In Home Supportive Care Agency
- Louisville, KY
National Provider Identifier
1720617004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100379100 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI 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.