Organization Active NPI

Mebs Holdings Inc.

  • Community/Behavioral Health Agency
  • Covington, KY
National Provider Identifier
1770085722
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MEBS HOLDINGS INC.
Practice address
4339 Winston Ave
Covington, KY 41015-1739
Phone
(859) 835-2573
NPI assigned
Mar 6, 2018
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Ms. Nikki Fangman
Title
Executive Director
Phone
(859) 322-2435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4339 Winston Ave
Covington, KY 41015-1739

Mailing address

4339 Winston Ave
Covington, KY 41015-1739
Phone (859) 835-2573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114000678 KY Part B Supplier - Clinic/Group Practice 0143711416 Receives reassigned benefits from 2 practitioners
Practice locations: Covington, KY

National Provider Directory

National Provider Directory
Tax ID family
Mebs Holdings Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4339 Winston Ave
Covington, KY 41015
Phone (859) 835-2573

Practitioners & affiliated clinicians

Practitioners 6

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": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1770085722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151739",
            "telephone_number": "859-835-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151739",
            "telephone_number": "859-835-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBS HOLDINGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "FANGMAN",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-322-2435",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.