NPIMap

Organization Active NPI

St. Charles Care Center, Inc.

Doing business as St. Charles Adult Day Health Program

  • Adult Day Care Clinic/Center
  • Covington, KY
National Provider Identifier
1730230301
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750018 Issued in KY
Legal business name
ST. CHARLES CARE CENTER, INC.
Doing business as
St. Charles Adult Day Health Program
Practice address
600 Farrell Dr
Covington, KY 41011-5126
Phone
(859) 331-3224
Fax
(859) 292-1670
NPI assigned
Jan 12, 2007
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Karen Nichole Smith
Title
Administrator
Phone
(859) 331-3224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750018 KY Primary

Addresses

Primary practice location

600 Farrell Dr
Covington, KY 41011-5126

Mailing address

600 Farrell Dr
Covington, KY 41011-5126
Phone (859) 331-3224

Other identifiers 1

IdentifierTypeStateIssuer
43002591MedicaidKY

Other names 1

  • St. Charles Adult Day Health Program Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1730230301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410115126",
            "telephone_number": "859-331-3224",
            "fax_number": "859-292-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410115126",
            "telephone_number": "859-331-3224",
            "fax_number": "859-292-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-331-3224"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43002591",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Charles Adult Day Health Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.