Organization Active NPI

Mountain Ridge Community Care Inc

  • In Home Supportive Care Agency
  • Hazard, KY
National Provider Identifier
1780038422
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MOUNTAIN RIDGE COMMUNITY CARE INC
Practice address
420 Baker Ave Apt 103
Hazard, KY 41701-1871
Phone
(606) 435-2222
Fax
(606) 435-2226
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mr. Ismail Hakki Camur
Title
Owner
Phone
(606) 435-2222

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X KY
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

420 Baker Ave Apt 103
Hazard, KY 41701-1871

Mailing address

420 Baker Ave Apt 103
Hazard, KY 41701-1871
Phone (606) 435-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1780038422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BAKER AVE APT 103",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011871",
            "telephone_number": "606-435-2222",
            "fax_number": "606-435-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BAKER AVE APT 103",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011871",
            "telephone_number": "606-435-2222",
            "fax_number": "606-435-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RIDGE COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "CAMUR",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_middle_name": "HAKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-435-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.