Tri-Generations LLC Central Ky

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TRI-GENERATIONS LLC CENTRAL KY

Doing business as

Tri-Generations LLC

Practice address

436 Hotchkiss St
Campbellsville, KY 42718-1340

Phone

(270) 469-1236

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Karen Gardner

Title

Executive Director

Phone

(270) 469-1236

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Tri-Generations LLC Doing business as

Tax ID family

Tri-Generations LLC Central Ky4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Tri-Generations LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Campbellsville, KY
  • NPI 1427261486
  NPD tax ID
• Tri-Generations LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Louisville, KY
  • NPI 1578782470
  NPD tax ID
• Tri-Generations, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Florence, KY
  • NPI 1174736128
  NPD tax ID

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1770879058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 HOTCHKISS ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181340",
            "telephone_number": "270-469-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HOTCHKISS ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181340",
            "telephone_number": "270-469-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-GENERATIONS LLC CENTRAL KY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-469-1236"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427261486",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578782470",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174736128",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356643548",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Generations LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Lynn Thrasher, CSW
• Coleman Shaw Torbert, MMFT
• Total Renal Care Inc (Taylor County Dialysis Center)
• TRH Anesthesia LLC
• Tri-Generations LLC
• Joy Trotter, M.S., OTR/L
• Tucker Family Medicine PSC
• Tucker Family Medicine, PSC
• Summer Raye Tucker, D.O.
• Wes Thomas Tucker, PHARMD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.