Organization Active NPI

Womack-Carter Options, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Murray, KY
National Provider Identifier
1750503330
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
WOMACK-CARTER OPTIONS, LLC
Practice address
3380 State Route 121 N
Murray, KY 42071-7945
Phone
(270) 767-1543
Fax
(270) 767-1545
NPI assigned
May 3, 2007
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Mrs. Bonnie Ann McClure, MSW
Title
Ceo
Phone
(270) 703-2966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

3380 State Route 121 N
Murray, KY 42071-7945

Mailing address

1305 Farris Ave
Murray, KY 42071-1803
Phone (270) 767-1543

Other identifiers 1

IdentifierTypeStateIssuer
33000696OtherKYSCL MEDICAID WAIVER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1750503330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FARRIS AVE",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711803",
            "telephone_number": "270-767-1543",
            "fax_number": "270-767-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 STATE ROUTE 121 N",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420717945",
            "telephone_number": "270-767-1543",
            "fax_number": "270-767-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK-CARTER OPTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-703-2966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCL MEDICAID WAIVER",
            "identifier": "33000696",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.